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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Dove Medical Press
2025-06-01
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| author | Wang X Huang D Han J Luo J Wang Y |
| author_facet | Wang X Huang D Han J Luo J Wang Y |
| author_sort | Wang X |
| collection | DOAJ |
| description | 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 |
| format | Article |
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| institution | OA Journals |
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| language | English |
| publishDate | 2025-06-01 |
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| spelling | doaj-art-ef99dc7db932463484796ef2657b8d252025-08-20T02:24:08ZengDove Medical PressJournal of Pain Research1178-70902025-06-01Volume 18Issue 130093016103939Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative StudyWang X0Huang D1Han J2Luo J3Wang Y4Department of Spine SurgeryDepartment of Spine SurgeryDepartment of Spine SurgeryDepartment of Spine SurgeryDepartment of Spine SurgeryXinyang 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, painhttps://www.dovepress.com/mid-term-functional-recovery-after-acdf-and-accf-in-the-treatment-of-a-peer-reviewed-fulltext-article-JPRTwo-Level Cervical SpondylosisDouble DiscectomyPartial CorpectomyCervical FunctionPain |
| spellingShingle | Wang X Huang D Han J Luo J Wang Y Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative Study Journal of Pain Research Two-Level Cervical Spondylosis Double Discectomy Partial Corpectomy Cervical Function Pain |
| title | Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative Study |
| title_full | Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative Study |
| title_fullStr | Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative Study |
| title_full_unstemmed | Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative Study |
| title_short | Mid-Term Functional Recovery After ACDF and ACCF in the Treatment of Adjacent Two-Level Cervical Spondylosis: A Comparative Study |
| title_sort | mid term functional recovery after acdf and accf in the treatment of adjacent two level cervical spondylosis a comparative study |
| topic | Two-Level Cervical Spondylosis Double Discectomy Partial Corpectomy Cervical Function Pain |
| url | 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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