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RESULT OF MULTILEVEL ANTERIOR CERVICAL DISCECTOMY AND FUSION (ACDF) IN MULTILEVEL HERNIATED CERVICAL DISCS PATIENTS WITH MEDULLARY HYPERINTENSE AT BACH MAI HOSPITAL
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Abstract
Objective: To evaluate the effectiveness of multi-level anterior cervical discectomy and fusion (ACDF) in treating cervical disc herniation with cervical cord medullary hyperintense at Bach Mai Hospital. Method: 26 patients diagnosed with cervical disc herniation with cervical cord medullary hyperintense underwent multi-level anterior cervical discectomy and fusion surgery at the Orthopedic and Spine Department at Bach Mai Hospital from October 2019 to May 2022. Results: The mJOA score improved statistically significantly from 10.1 ± 2.68 to 15.9 ± 2.02 (p < 0.01), with a mJOA recovery rate of 74.11%. The mJOA recovery rate was higher in the group with single-level with cervical cord medullary hyperintense compared to the group with 2-level with cervical cord medullary hyperintense, and this difference was statistically significant. There is a negative correlation between the mJOA recovery rate and the length of cervical cord medullary hyperintense on MRI images, with an r-value of -0.45 and a p-value of 0.018. Conclusion: The presence of cervical cord medullary hyperintense on MRI significantly predicts recovery after multi-level ACDF surgery.
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Keywords
the length of cervical cord medullary hyperintense, ACDF
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