Early Clinical Improvement of the Axial Pain after Sagittal Curve Restoration in Patients Who Underwent a Multiple Level Microdiscectomy with Fusion of the Cervical Spine Using Zero Profile Cages

Hassan Kadri

doi:10.4236/ojmn.2022.122008

Abstract

A common pathology that causes axial and/or radicular pain is cervical degenerative spine. It has the potential to cause myelopathy. The majority of cases necessitate surgical decompression and sagittal balance correction; surgery may be performed at multiple levels of the cervical spine. Typically, during decompression, the degenerated discs are replaced and the spine is fused, and it has been recommended to restore the lordotic curve during the procedure to avoid any axial pain post-operatively. We followed our patients who had multiple level cervical spine decompression with fusion and monitored their axial pain after correction or in the absence of correction of the normal lordosis in the early post-operative period. When various levels of degenerative cervical spine are treated, it appears that axial pain does not improve in the immediate or early postoperative term.

Highlights

When various levels of degenerative cervical spine are treated, it appears that axial pain does not improve in the immediate or early postoperative term
The purpose of this study is to look at the relationship between restoring normal cervical spine lordosis and the persistence of axial pain in the early post-operative period in patients who had a degenerative cervical spine and underwent a multiple microdiscectomy with fixation fusion using a 0 profile cage fusion
18 patients received multiple ACDFs with 0 profile cages, bone grafts, and screws fixation for a multiple level degenerative cervical spine

Summary

Introduction

The bulk of this pain is axial, which necessitates immediate physical and pharmacological treatment. This axial pain has been linked to a poor lordotic alignment. The lordotic alignment influences the cervical spine’s flexion extension dynamic [4] [5] and may cause pain by putting a different stress on the neck muscles and cervical vertebrae. We anticipate that correcting the alignment will result in an early reduction in axial pain. The purpose of this study is to look at the relationship between restoring normal cervical spine lordosis and the persistence of axial pain in the early post-operative period in patients who had a degenerative cervical spine and underwent a multiple microdiscectomy with fixation fusion using a 0 profile cage fusion

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Discussion

Conclusion