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Long-term outcome after anterior cervical discectomy without fusion

To retrospectively study the long-term outcome of patients after anterior cervical discectomy without fusion (ACD) compared to results published on the long-term outcome after ACD with fusion (ACDF). We reviewed the charts of all patients receiving ACD surgery between 1985 and 2000 to analyze the di...

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Detalles Bibliográficos
Autores principales: Nandoe Tewarie, Rishi D. S., Bartels, Ronald H. M. A., Peul, Wilco C.
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2200758/
https://www.ncbi.nlm.nih.gov/pubmed/17262184
http://dx.doi.org/10.1007/s00586-007-0309-y
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author Nandoe Tewarie, Rishi D. S.
Bartels, Ronald H. M. A.
Peul, Wilco C.
author_facet Nandoe Tewarie, Rishi D. S.
Bartels, Ronald H. M. A.
Peul, Wilco C.
author_sort Nandoe Tewarie, Rishi D. S.
collection PubMed
description To retrospectively study the long-term outcome of patients after anterior cervical discectomy without fusion (ACD) compared to results published on the long-term outcome after ACD with fusion (ACDF). We reviewed the charts of all patients receiving ACD surgery between 1985 and 2000 to analyze the direct post-operative results as well as complications of the surgery. Moreover, 102 patients, randomly selected, were interviewed with the neck disability index to study possible persisting complaints up to 18 years after ACD surgery. A total of 551 Patients were identified. Two months post-operative follow up at the outpatient clinic revealed that 90.1% of patients were satisfied with the result of ACD surgery. At the time of the survey, this percentage had dropped to 67.6%. In addition, 20.6% and 11.8% had obtained moderate to severe complaints, respectively, in daily-life activities. Complaints were mainly localized in the neck region and occasionally provoked radiating pain in the arm. On the short term, ACD leads to a satisfied outcome. Over the longer term, patients report increasing complaints. The increase in complaints at the time of the survey may be the result of ongoing degenerative effects. Compared to published data on ACDF, there is no superiority of any fusion technique compared to ACD alone.
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spelling pubmed-22007582008-05-05 Long-term outcome after anterior cervical discectomy without fusion Nandoe Tewarie, Rishi D. S. Bartels, Ronald H. M. A. Peul, Wilco C. Eur Spine J Original Article To retrospectively study the long-term outcome of patients after anterior cervical discectomy without fusion (ACD) compared to results published on the long-term outcome after ACD with fusion (ACDF). We reviewed the charts of all patients receiving ACD surgery between 1985 and 2000 to analyze the direct post-operative results as well as complications of the surgery. Moreover, 102 patients, randomly selected, were interviewed with the neck disability index to study possible persisting complaints up to 18 years after ACD surgery. A total of 551 Patients were identified. Two months post-operative follow up at the outpatient clinic revealed that 90.1% of patients were satisfied with the result of ACD surgery. At the time of the survey, this percentage had dropped to 67.6%. In addition, 20.6% and 11.8% had obtained moderate to severe complaints, respectively, in daily-life activities. Complaints were mainly localized in the neck region and occasionally provoked radiating pain in the arm. On the short term, ACD leads to a satisfied outcome. Over the longer term, patients report increasing complaints. The increase in complaints at the time of the survey may be the result of ongoing degenerative effects. Compared to published data on ACDF, there is no superiority of any fusion technique compared to ACD alone. Springer-Verlag 2007-01-30 2007-09 /pmc/articles/PMC2200758/ /pubmed/17262184 http://dx.doi.org/10.1007/s00586-007-0309-y Text en © Springer-Verlag 2007
spellingShingle Original Article
Nandoe Tewarie, Rishi D. S.
Bartels, Ronald H. M. A.
Peul, Wilco C.
Long-term outcome after anterior cervical discectomy without fusion
title Long-term outcome after anterior cervical discectomy without fusion
title_full Long-term outcome after anterior cervical discectomy without fusion
title_fullStr Long-term outcome after anterior cervical discectomy without fusion
title_full_unstemmed Long-term outcome after anterior cervical discectomy without fusion
title_short Long-term outcome after anterior cervical discectomy without fusion
title_sort long-term outcome after anterior cervical discectomy without fusion
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2200758/
https://www.ncbi.nlm.nih.gov/pubmed/17262184
http://dx.doi.org/10.1007/s00586-007-0309-y
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