ANTERIOR CERVICAL CORPECTOMY SURGERY FOR CERVICAL MYELOPATHY: RESULT AT VIET DUC UNIVERSITY HOSPITAL

Lê Bảo Tiến Nguyễn, Thanh Tú Ngô, Viết Lực Nguyễn, Văn Thanh Võ , Hoàng Long Nguyễn, Bệnh viện Hữu nghị Việt Đức Nguyễn, Hồng Phong Phạm, Khắc Đức Bùi, Thành Đồng Bùi, Thị Hồng Liễu Nguyễn

Main Article Content

Abstract

Objective: To evaluate the surgical results of anterior cervical corpectomy and fusion (ACCF) for cervical spinal cord diseases at Viet Duc Hospital. Subjects and Methods: A retrospective study of 36 patients undergoing single level ACCF from 08/2021 to 06/2023. Clinical and imaging outcomes were assessed at 6 months postoperatively. Results: Improvements in pain scores: Preoperative VAS arm and neck were 5.24 ± 1.58 and 4.61 ± 1.66 points, respectively. At 6 months, they were 1.18 ± 1.49 and 1.48 ± 1.68 points. mJOA improved from 13.86 ± 3.56 preoperatively to 15.17 ± 2.2 postoperatively. NDI improved from 51.67 ± 18.09% preoperatively to 24.75 ± 18.34% postoperatively. High fusion rate of 88.9%. Complications included hoarseness in 11.1%, dysphagia in 8.3%,and progressive paralysis in 2.8%.Conclusion: ACCF provides good clinical outcomes for cervical spinal cord diseases with high fusion rates. However, it is a major surgery with high complication rates and should be performed by experienced surgeons.

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References

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