Comparative Study between Single-Level Anterior Cervical Discectomy and Fusion using Cage and Plate or Cage Alone | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 20, Volume 74, Issue 4, January 2019, Pages 867-872 PDF (206.37 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2019.25266 | ||
| Authors | ||
| Youssef Barakat1; Alaa Rashad1; Mokhtar Ragab2; Mohamed Ibrahim Abd Elrahman* 1 | ||
| 1Departments of Neurosurgery, Faculty of Medicine, Al-Azhar University | ||
| 2Departments of Radiology, Faculty of Medicine, Al-Azhar University | ||
| Abstract | ||
| Background: anterior cervical discectomy and interbody fusion (ACDF) is a well-accepted management option for the treatment of persistent cervical radiculopathy or myelopathy due to cervical disc prolapse. Typically a fusion is performed to stabilize the segment, maintain foraminal height. Objective: to prospectively analyze the effect of one-level ACDF, comparing stand-alone cages and cage-with-plate fixation constructs with respect to clinical outcomes and radiologic changes. Patients and Methods: a total of 20 patients who underwent one-level for cervical disc disease and who completed 6 months of follow-up were included in this study. The patients were grouped into ACDF-Cage-only and ACDF-Cage-with-plate groups. The following parameters were assessed using radiographs: subsidence, adjacent disc space narrowing, clinical outcomes were assessed using the Odom's criteria. Results: in the comparison of one-level ACDF-cage-only and ACDF-cage-with-plate groups, at the 3-and 6-months follow-up: Regarding the functional outcome in the plate group 6 (60%) patients had excellent outcome, 2 (20%) patients had good outcome, 1 (10%) had satisfactory and 1 (10%) had poor outcome, while in the cage group 7 (70%) patients had excellent outcome, 110%) had good outcome, 1 (10%) had satisfactory and 1 (10%) had poor outcome. Conclusion: our results showed that for single-level cases, plate fixation had no additional benefit versus cage-only, although the cage-with-plate fixation group had a lower incidence of cage sinking than did the cage-only group. We conclude that physicians should be aware of these possible advantages and disadvantages associated with using cervical plates in one-level ACDF. | ||
| Keywords | ||
| Diskectomy; Cervical vertebrae; spinal fusion; Bone Plate | ||
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