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Text
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URL Address
<a href="http://doi.org/10.21037/jss.2018.06.16" target="_blank" rel="noreferrer noopener">http://doi.org/10.21037/jss.2018.06.16</a>
Pages
496–500
Issue
3
Volume
4
Dublin Core
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Title
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Outcomes and revision rates following multilevel anterior cervical discectomy and fusion.
Publisher
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Journal of spine surgery (Hong Kong)
Date
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2018
2018-09
Subject
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Anterior cervical discectomy and fusion (ACDF); multilevel; outcome; pseudarthrosis; radiculopathy; revision
Creator
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Laratta Joseph L; Reddy Hemant P; Bratcher Kelly R; McGraw Katlyn E; Carreon Leah Y; Owens R Kirk 2nd
Description
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Background: Anterior cervical discectomy and fusion (ACDF) for cervical degenerative disease is an accepted treatment for symptomatic cervical radiculopathy and myelopathy. One- and two-level fusions are much more common and more widely studied. Outcomes and revision rates for three- and four-level ACDF have not been well described. The purpose of this study is to report on clinical outcomes and revision rates following multilevel ACDF. Methods: Patients who underwent three- or four-level anterior cervical discectomy with plate fixation between 2006 and 2011 from a single-center multi-surgeon practice for symptomatic cervical degenerative disease were identified. Improvements in neck disability index (NDI), neck and arm pain scores two years after surgery and revision rates were analyzed. Results: Forty-six patients with a mean age of 55.9 years were included in the analysis. Twenty-one (46%) were male, 10 (22%) were smokers. Forty-one (89%) underwent three-level fusion and 5 (11%) underwent four-level fusion. NDI improved from 34.46 at baseline to 25.47 at 2 years. Neck pain improved from 7.04 at baseline to 3.95 and arm pain improved from 6.24 to 3.09 at 2 year follow up. Sixteen patients (35%) returned to surgery within 2 years with 11 of these patients (24%) returning for non-union. The average number of days to revision surgery was 750.6+/-570.3 days. Conclusions: Patients undergoing three- and four-level ACDF for multilevel cervical disease demonstrate substantial improvement in outcomes. However, the two-year revision rate is relatively high at 35% with the majority of these patients returning due to non-union.
Identifier
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<a href="http://doi.org/10.21037/jss.2018.06.16" target="_blank" rel="noreferrer noopener">10.21037/jss.2018.06.16</a>
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2018
Anterior cervical discectomy and fusion (ACDF)
Bratcher Kelly R
Carreon Leah Y
Journal of spine surgery (Hong Kong)
Laratta Joseph L
McGraw Katlyn E
multilevel
outcome
Owens R Kirk 2nd
pseudarthrosis
radiculopathy
Reddy Hemant P
revision