Abstract
Anterior cervical discectomy and fusion is effective surgical modality in the treatment of cervical prolapsed intervertebral disc, radiculopathy and myelopathy. Aims of our study is to evaluate fusion of cervical spine by ICG with plating and PEEK cage with bone graft, also assess the donor site morbidity. Thirty patients (male 16; female 14) with mean age 46 ± 9.2 years and were distributed into two treatment groups (PEEK cage group and ICG group). We assess the patients clinically for myelopathy and functional outcome by Nurick scale and Odom's criteria respectively and neck and arm pain by Visual Analogue Scale (VAS). Eighteen patients were operated for single level discectomy and fusion by either ICG or PEEK cages and twelve patients for two levels. After surgery follow up was 2 years and better postoperative score which was assessed by Nurick scale, Odoms criteria and VAS score. Total patients 14(93%)were graded excellent in the PEEK cage group compared to 13 patients (86%) in the ICG group. Statistically it was not significant between two groups and p value was <0.35. Difference was significant in VAS score after 24 months with more reduction of pain in PEEK cage group. Fusion occurred in 13 patients (86%) of the PEEK cage group and 14 patient (93%) of the ICG group. Result showed more fusion rate in ICG group and less donor site morbidity in PEEK group.
Highlights
Interbody fusion provides spine surgeon the ability to limit abnormal painful motion in the spine
ACDF is indicated for radiculopathy, myelopathy and fracture dislocation of spine.[2]
Thirty consecutive patients referred to the Department of Orthopaedic Surgery from July 2011 to June 2016 were recruited for the study purpose and randomized into two groups: one group for iliac crest graft (ICG) and another for PEEK cage
Summary
Interbody fusion provides spine surgeon the ability to limit abnormal painful motion in the spine. Recent treatment modality declares that fusion is the ideal treatment in cervical prolapsed intervertibral disc. Interbody fusion rate is about 92% by anterior cervical discectomy and fusion (ACDF).[1] ACDF is indicated for radiculopathy, myelopathy and fracture dislocation of spine.[2]. Several modalities of surgery for performing ACDF such as Cloward technique, Smith Robinson technique, Bailey/Badgley technique.[1,3] Auto and allo bone graft along with different cages are used for fusion. Various materials have been used for fusion too, as iliac crest graft (ICG),[4] allograft,[1] cement,[5] and bone morphogenetic proteins.[6] If the graft is used without any cage, it could be collapsed, extruded and there could be pseudoarthosis. To achieve further stability plate with screw is used along with bone graft
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Bangabandhu Sheikh Mujib Medical University Journal
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
