Article Sidebar
Views pdf: 47
CLINICAL FEATURES IN MULTI-LEVEL CERVICAL DISC HERNIATION PATIENTS TREATED WITH ANTERIOR CERVICAL DISCECTOMY AND FUSION IN BACH MAI HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the clinical features in patients with multiple cervical disc herniations who were treated with surgical anterior cervical discectomy and fusion (ACDF) at Bach Mai Hospital. Method: 32 patients diagnosed with cervical disc herniation were operated on by multi-level anterior cervical discectomy and fusion (ACDF) from 11/2019 to 5/2022 at the Orthopedic and Spine Department of Surgery, Bach Mai Hospital. Results: The male/female ratio was 1,29/1, the average age was 60,56 ± 13,03. The average duration of disease progression was 6,38 ± 5,51 months. The common symptoms were neck pain, sensation disorders, manual dexterity decline, hyperreflexia, and positive Hoffman signs. Cervical myelopathy syndrome accounts for 93,7% and the mJOA score was 10,66 ± 2,78, which was not a statistically significant difference between patients with 2 levels and 3 levels of disc herniation. The avergage NDI was 38.56 ± 21.09%. Conclusions: Multi-level cervical disc herniation patients have a variety of clinical symptoms, 93,7% of patients had cervical myelopathy syndrome, mJOA score was not a statistically significant difference between patients with 2 levels and 3 levels of disc herniation
Article Details
Keywords
multi-level cervical disc herniation, ACDF
References
2. Lan NTN. Nghiên cứu thực trạng thoát vị đĩa đệm cột sống tại cộng đồng. Y học Việt Nam. 2011:50-57.
3. Tetreault L, Kopjar B, Nouri A, et al. The modified Japanese Orthopaedic Association scale: establishing criteria for mild, moderate and severe impairment in patients with degenerative cervical myelopathy. Eur Spine J. Jan 2017;26(1):78-84. doi:10.1007/s00586-016-4660-8
4. Fehlings MG, Wilson JR, Kopjar B, et al. Efficacy and safety of surgical decompression in patients with cervical spondylotic myelopathy: results of the AOSpine North America prospective multi-center study. J Bone Joint Surg Am. Sep 18 2013;95(18):1651-8. doi:10.2106/JBJS.L.00589
5. Kolenkiewicz M, Wlodarczyk A, Wojtkiewicz J. Diagnosis and Incidence of Spondylosis and Cervical Disc Disorders in the University Clinical Hospital in Olsztyn, in Years 2011-2015. Biomed Res Int. 2018;2018:5643839. doi:10.1155/2018/ 5643839
6. Kim YK, Kang D, Lee I, Kim SY. Differences in the Incidence of Symptomatic Cervical and Lumbar Disc Herniation According to Age, Sex and National Health Insurance Eligibility: A Pilot Study on the Disease's Association with Work. Int J Environ Res Public Health. Sep 25 2018;15(10)doi:10.3390/ijerph15102094
7. Qi M, Xu C, Cao P, et al. Does Obesity Affect Outcomes of Multilevel ACDF as a Treatment for Multilevel Cervical Spondylosis?: A Retrospective Study. Clin Spine Surg. Dec 2020;33(10):E460-E465. doi:10.1097/BSD.0000000000000964
8. Sampath P ea. Outcome of patients treated of cervical myelopathy. A prospective multicenter study independent clinical review", Spine 25(6) : p 670- 676. 2000;
9. Kokubun S. ST, Ishii Y., et al. “Cervical myelopathy in the Japanes” Clinical Orthopeadics Related Reseasch , 323, pp.129 – 138. 1996;
10. Du NVTHG. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị phẫu thuật thoát vị đĩa đệm cột sống cổ bằng kính hiển vi phẫu thuật tại bệnh viện Hữu nghị Việt Đức. Tạp chí Y học Việt Nam. 2010;10(2):200-204.