A Comparison of Multilevel Anterior Cervical Discectomy and Corpectomy in Patients With 4-level Cervical Spondylotic Myelopathy: a Minimum 2-year Follow-up Study: Multilevel Anterior Cervical Discectomy

Clinical Spine Surgery : a Spine Publication
Zhonghai LiShuxun Hou

Abstract

Retrospective clinical series. To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of segmental anterior cervical corpectomy and fusion (sACCF) plus preservation of middle vertebrae with those of multilevel anterior cervical discectomy and fusion (mACDF) in 70 patients with 4-level cervical spondylotic myelopathy (CSM). Between July 2006 and May 2011, 70 consecutive patients [49 males and 21 females; mean age 56.8 y (range, 38-72 years)] with 4-level CSM were enrolled in this study and divided into sACCF (n=39) group and mACDF (n=31) group. The study compared perioperative parameters, complication rates, clinical parameters, and radiologic parameters. No significant differences between the groups were found in demographic, baseline disease characteristics, operation time, hospital stay, and follow-up time. Significant improvements of clinical outcome were seen from preoperative to postoperative in both groups. Satisfaction was rated as excellent or good by 79.5% of the sACCF group and 80.6% of the mACDF group, which was not a significant difference. Mean postoperative cervical lordosis was significantly greater in the mACDF group than in the sACCF group. Blood loss was signifi...Continue Reading

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Citations

Aug 25, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Zhonghai LiShuxun Hou
May 18, 2018·Clinical Spine Surgery : a Spine Publication·Michael J ElsenbeckScott C Wagner
Jun 3, 2016·Current Reviews in Musculoskeletal Medicine·So Kato, Michael Fehlings
Mar 29, 2021·The Spine Journal : Official Journal of the North American Spine Society·Dong-Ho LeeChoon Sung Lee

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European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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