KẾT QUẢ PHẪU THUẬT THAY ĐĨA ĐỆM, GHÉP XƯƠNG LIÊN THÂN ĐỐT, CỐ ĐỊNH CỘT SỐNG CỔ TRƯỚC (ACDF) ĐƠN TẦNG CHO BỆNH NHÂN THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG CỔ TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objective: To evaluate the outcomes of single-level anterior cervical discectomy and fusion (ACDF) surgery in patients with cervical disc herniation at Viet Duc Hospital. Methods: A prospective descriptive study involving 41 patients with cervical disc herniation who underwent single-level anterior cervical discectomy and fusion (ACDF) at Viet Duc Hospital from January 2022 to January 2023. Results: Among the 41 patients in our study, the majority were female, accounting for 56.1%, with an average age of 45.8 ± 7.68 years. Most patients presented with symptoms of spinal cord compression, including reduced hand dexterity (58.5%), quadriparesis (75.6%), hyperreflexia (63.4%), and a positive Hoffmann's sign (68.2%). The average mJOA score was 9.8 ± 4.2, and the average NDI score was 51.6% ± 11.3%. The surgical characteristics showed an average operative time of 60.58 ± 18.14 minutes, an average blood loss of 65.18 ± 18.14 ml, and an average hospital stay of 5.42 ± 1.21 days. Intraoperative complications included one patient with recurrent laryngeal nerve injury. Postoperative complications included two patients with dysphagia and one patient with hoarseness. VAS, NDI, and mJOA scores significantly improved at 1 month and 6 months postoperatively. Six patients developed adjacent segment disease, accounting for 14,6%. Conclusion: Anterior cervical discectomy and fusion (ACDF) surgery for patients with cervical disc herniation is a safe procedure with a low complication rate and provides significant clinical benefits for patients.