ANALYSIS OF ANTERIOR CERVICAL DISCECTOMIES: EVALUATION OF 338 CASES
Journal Title: Journal of Turkish Spinal Surgery - Year 2017, Vol 28, Issue 3
Abstract
Objective: The aim of our study is to analyse the cervical discectomy operations performed in our clinic in the last 3 years. Materials and Method: 338 patients underwent anterior cervical discectomy+fusion or total disc replacement at Adana Numune Training and Research Hospital Neurosurgery Clinic between April 2013 and April 2016 were inspected retrospectively. We evaluated patients’ age, gender, level of discopathy, side of the disc herniation, type of surgery, preoperative and postoperative Visual Analog Scale(VAS) scores. Results: Data from 338 patients were included in the statistical analyses. Mean age of the study population was 46.1 ± 10.3 years, and male/female ratio was 171 / 167. 145 patients(42.9 %) had a localization at C5-C6. The symptoms were on the left side of 43,5 % of patients. Total disc replacement implanted on 203 patients (60.1 %) and 135 patients(39.9 %) had been operated with fusion cages with blade. VAS scores decreased significantly during follow-up period. The comparisons of clinical characteristics between males and females were similar. But postoperative 3rd month VAS scores were significantly different between genders, and males had lower VAS scores than females. Conclusion: Cervical disc disease is a common pathology. Anterior cervical discectomy is a frequently performed procedure in surgical treatment. Anterior cervical discectomy + fusion or total disc replacement can be performed.
Authors and Affiliations
İsmail İŞTEMEN, Kemal Alper AFŞER, Vedat AÇIK, Gökhan ÇAVUŞ, Emre BİLGİN, Yurdal GEZERCAN, Ali İhsan ÖKTEN
Keywords
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