Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literature
This prospective observational study was done to evaluate the outcomes and management of patients with degenerative cervical myelopathy (DCM) treated with anterior cervical discectomy and fusion (ACDF). Materials and methods: Our study included 80 patients with DCM admitted to a neurosurg...
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| Format: | Article |
| Language: | English |
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Romodanov Neurosurgery Institute
2025-06-01
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| Series: | Ukrainian Neurosurgical Journal |
| Online Access: | https://theunj.org/article/view/325159 |
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| _version_ | 1849426660365959168 |
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| author | Tushar Soni Divyang Patel Tejas Chotai Shreyansh Patel Manas Ranjan Deo |
| author_facet | Tushar Soni Divyang Patel Tejas Chotai Shreyansh Patel Manas Ranjan Deo |
| author_sort | Tushar Soni |
| collection | DOAJ |
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This prospective observational study was done to evaluate the outcomes and management of patients with degenerative cervical myelopathy (DCM) treated with anterior cervical discectomy and fusion (ACDF).
Materials and methods: Our study included 80 patients with DCM admitted to a neurosurgical department between August 2013 and February 2023. Patients underwent ACDF surgery for single- or multi-level spinal canal stenosis. Demographic data, clinical features, and neurological examinations including assessments of limb power using the Medical Research Council Scale, sensory system function, and sphincter disturbance pre- and post-operatively were assessed. Pre- and post-operative neurological function was evaluated using the Nurick score, while post-operative outcomes were assessed using the Odom's criteria. The study population consisted mainly of males aged 51-60 years. Myelopathy was the most frequent presentation, with C5-C6 level being the most common level of fusion.
Results: ACDF surgery significantly improved neurological function, as evidenced by reduced pre-operative weakness and sensory dysfunction, and increased post-operative muscle strength. Minimal postoperative complications were observed.
Conclusions: These findings align with previous research, demonstrating ACDF as a safe and effective procedure for improving neurological function and quality of life in DCM patients. Limitations include sample size and study design, necessitating further research. |
| format | Article |
| id | doaj-art-8d80499f943b499cb2ea552a7814370e |
| institution | Kabale University |
| issn | 2663-9084 2663-9092 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Romodanov Neurosurgery Institute |
| record_format | Article |
| series | Ukrainian Neurosurgical Journal |
| spelling | doaj-art-8d80499f943b499cb2ea552a7814370e2025-08-20T03:29:18ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922025-06-01312758510.25305/unj.325159Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literatureTushar Soni0Divyang Patel1Tejas Chotai2Shreyansh Patel3Manas Ranjan Deo4Department of Neurosurgery, Smt. NHL Municipal Medical College and Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, GujaratDepartment of Neurosurgery, Smt. NHL Municipal Medical College and Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, GujaratDepartment of Neurosurgery, Smt. NHL Municipal Medical College and Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, GujaratDepartment of Neurosurgery, Smt. NHL Municipal Medical College and Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, GujaratDepartment of Neurosurgery, Smt. NHL Municipal Medical College and Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat This prospective observational study was done to evaluate the outcomes and management of patients with degenerative cervical myelopathy (DCM) treated with anterior cervical discectomy and fusion (ACDF). Materials and methods: Our study included 80 patients with DCM admitted to a neurosurgical department between August 2013 and February 2023. Patients underwent ACDF surgery for single- or multi-level spinal canal stenosis. Demographic data, clinical features, and neurological examinations including assessments of limb power using the Medical Research Council Scale, sensory system function, and sphincter disturbance pre- and post-operatively were assessed. Pre- and post-operative neurological function was evaluated using the Nurick score, while post-operative outcomes were assessed using the Odom's criteria. The study population consisted mainly of males aged 51-60 years. Myelopathy was the most frequent presentation, with C5-C6 level being the most common level of fusion. Results: ACDF surgery significantly improved neurological function, as evidenced by reduced pre-operative weakness and sensory dysfunction, and increased post-operative muscle strength. Minimal postoperative complications were observed. Conclusions: These findings align with previous research, demonstrating ACDF as a safe and effective procedure for improving neurological function and quality of life in DCM patients. Limitations include sample size and study design, necessitating further research.https://theunj.org/article/view/325159 |
| spellingShingle | Tushar Soni Divyang Patel Tejas Chotai Shreyansh Patel Manas Ranjan Deo Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literature Ukrainian Neurosurgical Journal |
| title | Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literature |
| title_full | Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literature |
| title_fullStr | Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literature |
| title_full_unstemmed | Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literature |
| title_short | Clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion: an institutional experience and review of literature |
| title_sort | clinical study of management and outcomes in patients with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion an institutional experience and review of literature |
| url | https://theunj.org/article/view/325159 |
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