Long-term clinical outcomes following 3- and 4-level anterior cervical discectomy and fusion

Journal of Neurosurgery. Spine
Rafael De la Garza-RamosAli Bydon

Abstract

OBJECTIVE The purpose of this study was to report the long-term clinical outcomes following 3- and 4-level anterior cervical discectomy and fusion (ACDF). METHODS A retrospective review of all adult neurosurgical patients undergoing elective ACDF for degenerative disease at a single institution between 1996 and 2013 was performed. Patients who underwent first-time 3- or 4-level ACDF were included; patients with previous cervical spine surgery, those undergoing anterior/posterior approaches, and those with corpectomy were excluded. Outcome measures included perioperative complication rates, fusion rates, need for revision surgery, Nurick Scores, Odom's criteria, symptom resolution, neck visual analog scale (VAS) pain score, and persistent narcotics usage. RESULTS Seventy-one patients who underwent 3-level ACDF and 26 patients who underwent 4-level ACDF were identified and followed for an average of 7.6 ± 4.2 years. There was 1 case (3.9%) of deep wound infection in the 4-level group and 1 case in the 3-level group (1.4%; p = 0.454). Postoperatively, 31% of patients in the 4-level group complained of dysphagia, compared with 12.7% in the 3-level group (p = 0.038). The fusion rate was 84.6% after 4-level ACDF and 94.4% after 3-lev...Continue Reading

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Citations

Jan 24, 2017·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Taylor E PurvisDaniel M Sciubba
Mar 17, 2018·Neurology India·Yad Ram YadavMashoo N Dubey
May 18, 2018·Clinical Spine Surgery : a Spine Publication·Michael J ElsenbeckScott C Wagner
Dec 19, 2018·Global Spine Journal·Tyler M KreitzAlan S Hilibrand
Nov 15, 2021·The Spine Journal : Official Journal of the North American Spine Society·Peter Y JooJonathan N Grauer
Mar 20, 2021·Journal of Neurosurgery. Spine·Shrijith Murlidharan BhavaninilayamShashank Sharad Kale

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