RESULTS OF TREATMENT FOR LOW CERVICAL DISC HERNIATION OF THE SINGLE-LEVEL BY ANTERIOR CERVICAL DISCECTOMY AND FUSION

Xuân Thành Bùi 1, Hữu Đức Hoàng 2,, Ngọc Sơn Đinh 1,2, Ngọc Sơn Đinh 1,2
1 HMU
2 Viet Duc hospital

Main Article Content

Abstract

Object: Evaluation of the results of treatment for low cervical disc herniation of the single-level by anterior cervical discectomy and fusion at Spine surgery Department, Viet Duc Hospital. Subject and methods: 36 patients with confirmed diagnosis of single-level low cervical disc herniation were operated by anterior cervical discectomy and fusion. Results: Postoperative, pain level improved with the mean VAS score preoperative 6,7±0,9, re-examination 6 months postoperative reduced to 2,0±1,1. Spinal function 6 months postoperative improved better than preoperative with the average NDI soce of 22,3±12,9% and 52,0±14,0%. Spinal cord function recovered well with the preoperative JOA score of 10,2±2,8 and the 6 months postoperative 13,6±2,4. The recovery ratio Spinal cord function good and excellent of 64,0%. Conclusions: Single-level Anterior cervical discectomy and fusion surgery in the treatment of low cervical disc herniation has improved good clinical outcomes.

Article Details

References

1. Radhakrishnan, K., et al., Epidemiology of cervical radiculopathy: a population-based study from Rochester, Minnesota, 1976 through 1990. 1994. 117(2): p. 325-335.
2. Kim, D.H., et al., Surgical anatomy and techniques to the spine e-book: expert consult-online and print. 2013: Elsevier Health Sciences.
3. Buttermann, G.R.J.S., Anterior cervical discectomy and fusion outcomes over 10 years. 2018. 43(3): p. 207-214.
4. Konduru, S. and G.J.B.J.o.N. Findlay, Anterior cervical discectomy: to graft or not to graft? 2009. 23(1): p. 99-103.
5. Pointillart, V., et al., Anterior discectomy without interbody fusion for cervical disc herniation. 1995. 4(1): p. 45-51.
6. Shi, S., et al., Comparison of 2 zero-profile implants in the treatment of single-level cervical spondylotic myelopathy: a preliminary clinical study of cervical disc arthroplasty versus fusion. 2016. 11(7): p. e0159761.
7. Duy, L.K., N.H. Thuận, and N.T.J.T.c.Y.D.h.C.T. Tấn, ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG CỔ BẰNG PHƯƠNG PHÁP CẮT ĐĨA, HÀN LIÊN THÂN ĐỐT LỐI TRƯỚC TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ. 2022(50): p. 218-225.
8. Kiên;, N.T., Nghiên cứu đặc điểm lâm sàng, chẩn đoán hình ảnh và kết quả phẫu thuật thay đĩa đệm nhân tạo điều trị thoát vị đĩa đệm cột sống cổ một tầng, in Luận án Tiến sĩ Y học. 2020, Học viện Quân y: Hà Nội.
9. Rostami, M., et al., The impact of single-level anterior cervical discectomy and fusion on cervical sagittal parameters and its correlation with pain and functional outcome of patients with neck pain. 2021. 15(5): p. 899-905.