Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative Study
Xinyang Wang, Dingan Huang, Jianbang Han, Junjie Luo, Yingfeng Wang Department of Spine Surgery, Peoples’ Hospital of Huangshan City, Huangshan, Anhui, 245000, People’s Republic of ChinaCorrespondence: Yingfeng Wang, Department of Spine Surgery, Peoples’ Hospital of Huangshan City, No. 4 Liyuan Road...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-06-01
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| Series: | Journal of Pain Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/mid-term-functional-recovery-after-acdf-and-accf-in-the-treatment-of-a-peer-reviewed-fulltext-article-JPR |
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| Summary: | Xinyang Wang, Dingan Huang, Jianbang Han, Junjie Luo, Yingfeng Wang Department of Spine Surgery, Peoples’ Hospital of Huangshan City, Huangshan, Anhui, 245000, People’s Republic of ChinaCorrespondence: Yingfeng Wang, Department of Spine Surgery, Peoples’ Hospital of Huangshan City, No. 4 Liyuan Road, Tunxi District, Huangshan, Anhui, 245000, People’s Republic of China, Email wxyang315@163.comObjective: This study aims to comparatively analyze the mid-term functional recovery following anterior cervical discectomy and fusion (ACDF) versus anterior cervical corpectomy and fusion (ACCF) in the treatment of adjacent two-level cervical spondylosis.Methods: A retrospective analysis was conducted on the medical records of 123 patients with adjacent two-level cervical spondylosis treated at our hospital between January 1, 2018, and June 30, 2022. The patients were divided into the ACCF group (n=63) and the ACDF group (n=60) according to the surgical method. The clinical outcomes, surgical details, mid-term functional recovery, cervical Cobb angle (C2-7), overall cervical range of motion (ROM) (C2-7), adjacent segment ROM (upper and lower adjacent segments), and incidence of complications were compared between the two groups before surgery and at the final follow-up.Results: Preoperatively, there were no significant differences between the groups in JOA, VAS, and NDI scores (P > 0.05). The ACDF group had shorter operative time, less intraoperative blood loss, and lower postoperative drainage volume compared to the ACCF group (P < 0.05). The incidence of postoperative complications was also lower in the ACDF group (P < 0.05). At 18 months postoperatively, both groups showed significant improvement compared to their preoperative status (P < 0.05), with no significant differences in the rate of excellent and good outcomes between the two groups (P > 0.05). There were no significant differences between the groups in terms of cervical Cobb angle, overall cervical ROM, or ROM of the upper and lower adjacent segments (P > 0.05). Additionally, there was no significant difference in the incidence of adjacent segment degeneration between the two groups (P > 0.05).Conclusion: Both ACDF and ACCF are effective surgical options for patients with adjacent two-level cervical spondylosis, improving cervical function and alleviating pain. However, both procedures are associated with a certain incidence of complications and a reduction in cervical mobility postoperatively. Comparatively, ACDF offers advantages in terms of shorter operative time, less intraoperative blood loss, and lower postoperative drainage volume.Keywords: two-level cervical spondylosis, double discectomy, partial corpectomy, cervical function, pain |
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| ISSN: | 1178-7090 |