Outpatient anterior cervical discectomy and fusion for cervical disk disease: a prospective consecutive series of 96 patients

Acta Neurologica Scandinavica
Bjarne LiedEirik Helseth

Abstract

To evaluate surgical complications and clinical outcome in a consecutive series of 96 patients undergoing anterior cervical discectomy and fusion (ACDF) for cervical disk degeneration (CDD) in an outpatient setting. Pre-, per-, and postoperative data on patients undergoing single- or two-level outpatient ACDF at the private Oslofjord Clinic were prospectively collected. This study includes 96 consecutive patients with a mean age of 49.1 years. 36/96 had a two-level ACDF. Mean postoperative observation time before discharge was 350 min, and 95/96 were successfully discharged either to their home or to a hotel on the day of surgery. The surgical mortality was 0%, while the surgical morbidity rate was 5.2%. Two (2.1%) patients developed postoperative hematoma, 2 (2.1%) patients experienced postoperative dysphagia, and 1 (1%) experienced deterioration of neurological function. Radicular pain, neck pain, and headache decreased significantly after surgery. 91% of patients were satisfied with the surgery, according to the NASSQ. ACDF in carefully selected patients with CDD appears to be safe in the outpatient setting, provided a sufficient postoperative observation period. The clinical outcome and patient satisfaction of outpatients a...Continue Reading

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Citations

Feb 26, 2016·Expert Review of Neurotherapeutics·Mazda K Turel, Mark Bernstein
Aug 1, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Shearwood McClellandPeter G Passias
Sep 2, 2016·European Journal of Medical Research·Dexiang BanShiqing Feng
May 2, 2018·Neurosurgical Focus·Arjun Vivek PendharkarAtman Mukesh Desai
Aug 8, 2014·The Journal of Bone and Joint Surgery. American Volume·Christopher T MartinSergio Mendoza-Lattes
Jun 11, 2019·Clinical Spine Surgery : a Spine Publication·David A PurgerAtman M Desai
Nov 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Charles QinAnish R Kadakia
Jan 18, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ryan SnowdenPaul Kraemer

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