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Date Published: 17/02/2023
Abstract Views: 258
Views PDF: 148
DOI: https://doi.org/10.51298/vmj.v520i2.4142
Issue
Vol. 520 No. 2 (2022)
Section
Các bài báo
How to Cite
Trương, M. H., Nguyễn, V. T., & Hoàng, G. D. (2023). RESULTS OF MULTILEVEL ANTERIOR CERVICAL DISCECTOMY AND FUSION IN PATIENTS WITH CERVICAL DISC HERNIATION AT BACH MAI HOSPITAL. Vietnam Medical Journal, 520(2). https://doi.org/10.51298/vmj.v520i2.4142

RESULTS OF MULTILEVEL ANTERIOR CERVICAL DISCECTOMY AND FUSION IN PATIENTS WITH CERVICAL DISC HERNIATION AT BACH MAI HOSPITAL

Mạnh Hùng Trương1,, Văn Trung Nguyễn1,2, Gia Du Hoàng2
1 Hanoi medical university
2 Bach Mai hospital

Main Article Content

Abstract

Objective: To evaluate the result of treating cervical disc herniation by surgical anterior cervical discectomy and fusion (ACDF) at Bach Mai Hospital. Method: 32 patients diagnosed with cervical disc herniation were operated on by multilevel ACDF from 10/2019 to 5/2022 at Dept. of Orthopeadics Surgery & Spine, Bach Mai Hospital. Results: The average age is 60,56 ± 13,03, male/female ratio of 1,29/1. The mJOA score improved from 19.56 ± 12.72 to 15.94 ± 2.02 (p < 0.01) with RR of 74.11%. The VAS score at the time of post-operation and re-examination were 2.62 ± 1.29 and 1.09 ± 0.73 respectively, which were statistically significant with p < 0.01. Preoperative NDI decreased from 38.56 ± 21.09% to 19.56 ± 12.72% after 3 months (p < 0.01). There is a correlation between Cobb C2C7 angle with NDI and mJOA with r of - 0.36 and 0.41, respectively (p < 0.05). The average operative time was 119.7 ± 25.26 minutes. The amount of blood loss was 109.1 ± 28.44 ml. Conclusion: Multilevel anterior interbody fusion surgery in the treatment of cervical disc herniation has achieved good clinical outcomes and improved cervical spine lordosis on X-rays images.

Article Details

Keywords

Cervical disc herniation, multilevel anterior cervical discectomy and fusion

References

1. Korinth, M.C., Treatment of cervical degenerative disc disease - current status and trends. Zentralbl Neurochir, 2008. 69(3): p. 113-24.
2. Epstein, N.E., A Review of Complication Rates for Anterior Cervical Diskectomy and Fusion (ACDF). Surg Neurol Int, 2019. 10: p. 100.
3. Tetreault, L., 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, 2017. 26(1): p. 78-84.
4. Hirabayashi, K. and K. Satomi, Operative procedure and results of expansive open-door laminoplasty. Spine (Phila Pa 1976), 1988. 13(7): p. 870-6.
5. Kim, Y.K., et al., 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, 2018. 15(10).
6. Kolenkiewicz, M., A. Wlodarczyk, and J. Wojtkiewicz, 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: p. 5643839.
7. Rhee, J.M., T. Yoon, and K.D. Riew, Cervical radiculopathy. J Am Acad Orthop Surg, 2007. 15(8): p. 486-94.
8. Doughty, C.T. and M.P. Bowley, Entrapment Neuropathies of the Upper Extremity. Med Clin North Am, 2019. 103(2): p. 357-370.
9. Benzel, E.C., et al., Cervical laminectomy and dentate ligament section for cervical spondylotic myelopathy. J Spinal Disord, 1991. 4(3): p. 286-95.
10. Zileli, M., et al., Outcome Measures and Variables Affecting Prognosis of Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations. Neurospine, 2019. 16(3): p. 435-447.