Anterior Cervical Microdiscectomy With or Without Fusion

Abstract

ACD technique offers satisfactory outcome regardless of whether fusion process is applied or not. Fusion with semirigid plate offers an advantage at operated level in immediate postoperative period in regard of disc height and neural foramen height. However, semirigid anterior plates by definition do not stop subsidence and the advantage that is offered by this technique is not persistent. On the other hand, to apply fusion process with semirigid plate system offers significantly less narrowing in disc height compared with simple ACD technique.

Techniques for anterior cervical decompression for radiculopathy

“…There was also moderate evidence that pain relief after 6 weeks was higher after ACDF, but that return-to-work was higher after ACD after the same time period. 14 Oktenoglu et al 22 and Xie and Hurlbert 40 both reported Class II studies comparing ACD to ACDF. The Oktenoglu et al 22 study randomized 20 patients by coin flip: 11 patients were assigned to ACD and 9 to ACDF.…”

“…14 Oktenoglu et al 22 and Xie and Hurlbert 40 both reported Class II studies comparing ACD to ACDF. The Oktenoglu et al 22 study randomized 20 patients by coin flip: 11 patients were assigned to ACD and 9 to ACDF. Outcomes were assessed using the VAS at 1 day and 12 months after surgery by a blinded observer.…”

“…This study was graded Class II because of the small sample size, unclear randomization technique, and uncertainty regarding concealment of allocation. 22 The Xie and Hurlbert 40 study randomized 45 patients to ACD, ACDF, or ACDFI (15 patients each). The authors assessed outcome using McGill Pain Questionnaire scores and the SF-36.…”

Servikal dejeneratif patolojilere bağlı kök basısı ve irritasyonuna sekonder boyun ve kol ağrısına nöroşirurjikal yaklaşım

“…Yazarlar sonuç olarak, plaksız anterior diskektomi yöntemi-nin de tatminkâr klinik iyileşme sağladığı sonucuna varmışlardır. [21] Olgu Otuz dört yaşında kadın hasta, bir aydır devam eden şiddetli boyun ve her iki kola yayılan ağrı yakınmasıyla kliniğimize başvurdu. Ağrının akut baş-langıçlı olduğunu ifade ediyordu.…”

“…[17] Öktenoğlu ve arkadaşları, sadece anterior diskektomi ve enstrümanla füzyon uygulanan (anterior plak vida sistemi) olguların klinik ve radyolojik sonuçlarını karşılaştırmayı amaçlayan, randomize ileriye dönük bir çalışma tasarlamışlardır. [21] Olgu sayısı 20'dir ve görece az olarak nitelendirilebilir. Ancak, iki hafta süreklilik arzeden ya da girişimsel tedaviye yanıt vermeyen olgular çalışmaya dahil edilmişlerdir.…”