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Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report

Spinal surgeons have been drawn to the incidence of osteophytes following intervertebral disc degeneration in clinical practice. However, the production of osteophytes, particularly in the spinal canal, after anterior cervical discectomy and fusion (ACDF) is uncommon. We described a 42-year-old male...

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Autores principales: Jin, Haiming, Luo, Jiangtao, Jiang, Yuhan, Lin, Jinghao, Jiang, Junchen, Ren, Rufeng, Fang, Weiyuan, Wu, Yaosen, Wang, Xiangyang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880155/
https://www.ncbi.nlm.nih.gov/pubmed/36713656
http://dx.doi.org/10.3389/fsurg.2022.1029743
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author Jin, Haiming
Luo, Jiangtao
Jiang, Yuhan
Lin, Jinghao
Jiang, Junchen
Ren, Rufeng
Fang, Weiyuan
Wu, Yaosen
Wang, Xiangyang
author_facet Jin, Haiming
Luo, Jiangtao
Jiang, Yuhan
Lin, Jinghao
Jiang, Junchen
Ren, Rufeng
Fang, Weiyuan
Wu, Yaosen
Wang, Xiangyang
author_sort Jin, Haiming
collection PubMed
description Spinal surgeons have been drawn to the incidence of osteophytes following intervertebral disc degeneration in clinical practice. However, the production of osteophytes, particularly in the spinal canal, after anterior cervical discectomy and fusion (ACDF) is uncommon. We described a 42-year-old male patient who underwent C4–6 ACDF due to cervical stenosis two years prior in another public hospital in the province. His primary symptoms were significantly relieved, but he developed new pain and weakness in his right leg six months after surgery. The imaging results revealed a large posterior osteophyte at C5/6, compressing the spinal cord anteriorly. Accordingly, we performed cervical open-door laminoplasty to decompress the spinal cord. The patient's clinical symptoms had significantly improved at the one-year follow-up. This case seeks to inform surgeons that cautious, routine follow-ups are necessary for the event that a severe intracanal osteophyte develops at the operated level following ACDF. The comprehensive osteophyte removal and strong fixation at the operative level during ACDF warrant more consideration as these procedures may lower the incidence of new osteophytes. Additionally, surgical procedures may be required.
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spelling pubmed-98801552023-01-28 Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report Jin, Haiming Luo, Jiangtao Jiang, Yuhan Lin, Jinghao Jiang, Junchen Ren, Rufeng Fang, Weiyuan Wu, Yaosen Wang, Xiangyang Front Surg Surgery Spinal surgeons have been drawn to the incidence of osteophytes following intervertebral disc degeneration in clinical practice. However, the production of osteophytes, particularly in the spinal canal, after anterior cervical discectomy and fusion (ACDF) is uncommon. We described a 42-year-old male patient who underwent C4–6 ACDF due to cervical stenosis two years prior in another public hospital in the province. His primary symptoms were significantly relieved, but he developed new pain and weakness in his right leg six months after surgery. The imaging results revealed a large posterior osteophyte at C5/6, compressing the spinal cord anteriorly. Accordingly, we performed cervical open-door laminoplasty to decompress the spinal cord. The patient's clinical symptoms had significantly improved at the one-year follow-up. This case seeks to inform surgeons that cautious, routine follow-ups are necessary for the event that a severe intracanal osteophyte develops at the operated level following ACDF. The comprehensive osteophyte removal and strong fixation at the operative level during ACDF warrant more consideration as these procedures may lower the incidence of new osteophytes. Additionally, surgical procedures may be required. Frontiers Media S.A. 2023-01-13 /pmc/articles/PMC9880155/ /pubmed/36713656 http://dx.doi.org/10.3389/fsurg.2022.1029743 Text en © 2023 Jin, Luo, Jiang, Lin, Jiang, Ren, Fang, Wu and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Jin, Haiming
Luo, Jiangtao
Jiang, Yuhan
Lin, Jinghao
Jiang, Junchen
Ren, Rufeng
Fang, Weiyuan
Wu, Yaosen
Wang, Xiangyang
Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report
title Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report
title_full Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report
title_fullStr Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report
title_full_unstemmed Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report
title_short Osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (ACDF): A case report
title_sort osteophyte formation causes neurological symptoms after anterior cervical discectomy and fusion (acdf): a case report
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880155/
https://www.ncbi.nlm.nih.gov/pubmed/36713656
http://dx.doi.org/10.3389/fsurg.2022.1029743
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