Anterior cervical discectomy and fusion versus corpectomy and fusion in treating two-level adjacent cervical spondylotic myelopathy: a minimum 5-year follow-up study
Objective A retrospective study was performed to compare the clinical and radiological outcomes of two-level anterior cervical discectomy and fusion (ACDF) with those of single-level anterior cervical corpectomy and fusion (ACCF) in treating two adjacent level cervical spondylotic myelopathy (CSM) w...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2015-02, Vol.135 (2), p.149-153 |
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| creator | Liu, Jiaming Chen, Xuanyin Liu, Zhili Long, Xinhua Huang, Shanhu Shu, Yong |
| description | Objective
A retrospective study was performed to compare the clinical and radiological outcomes of two-level anterior cervical discectomy and fusion (ACDF) with those of single-level anterior cervical corpectomy and fusion (ACCF) in treating two adjacent level cervical spondylotic myelopathy (CSM) with at least 5-year follow-up.
Methods
A total of 46 consecutive patients who underwent surgery for the treatment of two-level CSM in our institution were evaluated from February 2002 to December 2007. In this series, 22 patients underwent two-level ACDF (group ACDF) and 24 received single-level ACCF (group ACCF). The operation duration, blood loss, perioperative complication, fusion rate, neural function (mJOA score) and the segmental lordosis of the surgical level were compared between the two groups.
Results
The mean follow-up time was 84.5 ± 13 months in group ACDF and 86 ± 11 months in group ACCF (
P
= 0.723). The rates of perioperative complications were 18.2 % in group ACDF and 20.8 % in group ACCF, respectively (
P
> 0.05). Although there was no significant difference in neural function (mJOA score) between the two groups at the final follow-up (
P
> 0.05), the blood loss and the operation duration were significantly less in group ACDF than those in group ACCF (
P
0.05). According to the radiographs measurement, the segmental lordosis at the surgical segment was significantly greater in group ACDF than that in group ACCF (
P
|
| doi_str_mv | 10.1007/s00402-014-2123-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1652379767</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261978269</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-6ac391360ac18c18120cf0406f7026ae76f34651bffcc6cf2d7b70a4f14fe5423</originalsourceid><addsrcrecordid>eNp1kc9qFTEUxoMo9tr6AG4k4Kab2CSTSWbcldKqUOjGrkNuJqm5ZJIxf26ZB_I9zeVWC4pwIIvzO985-T4A3hH8kWAsLjLGDFOECUOU0A6xF2BDWMdQNxL-Emzw2HE04J6cgDc57zAmdBjxa3BCe0aZ6OkG_LwMxSQXE9Qm7Z1WHk4ua6NLnFeowgRtzS4GuDcp1wx1TMu_TRdgSUYVFx5geYzIm73xUE07pU0oz9J5iWFafSxOw3k1Pi6qfF8_QQVnF9xcZ9ij1agEbfQ-PqK6wFzqtJ6BV1b5bN4-vafg_ub629UXdHv3-evV5S3SPR4K4kq3n3ccK02GVoRibZtF3ApMuTKC247xnmyt1ZprSyexFVgxS5g1zZLuFJwfdZcUf1STi5wPZnivgok1S8J72olRcNHQD3-hu1hTaNdJSjkZxUD52ChypHSKOSdj5ZLcrNIqCZaHDOUxQ9kylIcMJWsz75-U63Y205-J36E1gB6B3FrhwaTn1f9X_QVUlqpJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261978269</pqid></control><display><type>article</type><title>Anterior cervical discectomy and fusion versus corpectomy and fusion in treating two-level adjacent cervical spondylotic myelopathy: a minimum 5-year follow-up study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Liu, Jiaming ; Chen, Xuanyin ; Liu, Zhili ; Long, Xinhua ; Huang, Shanhu ; Shu, Yong</creator><creatorcontrib>Liu, Jiaming ; Chen, Xuanyin ; Liu, Zhili ; Long, Xinhua ; Huang, Shanhu ; Shu, Yong</creatorcontrib><description>Objective
A retrospective study was performed to compare the clinical and radiological outcomes of two-level anterior cervical discectomy and fusion (ACDF) with those of single-level anterior cervical corpectomy and fusion (ACCF) in treating two adjacent level cervical spondylotic myelopathy (CSM) with at least 5-year follow-up.
Methods
A total of 46 consecutive patients who underwent surgery for the treatment of two-level CSM in our institution were evaluated from February 2002 to December 2007. In this series, 22 patients underwent two-level ACDF (group ACDF) and 24 received single-level ACCF (group ACCF). The operation duration, blood loss, perioperative complication, fusion rate, neural function (mJOA score) and the segmental lordosis of the surgical level were compared between the two groups.
Results
The mean follow-up time was 84.5 ± 13 months in group ACDF and 86 ± 11 months in group ACCF (
P
= 0.723). The rates of perioperative complications were 18.2 % in group ACDF and 20.8 % in group ACCF, respectively (
P
> 0.05). Although there was no significant difference in neural function (mJOA score) between the two groups at the final follow-up (
P
> 0.05), the blood loss and the operation duration were significantly less in group ACDF than those in group ACCF (
P
< 0.05). The fusion rates at the 12th week after surgery were 86.4 % (19/22) in group ACDF and 87.5 % (21/24) in group ACCF (
P
> 0.05). According to the radiographs measurement, the segmental lordosis at the surgical segment was significantly greater in group ACDF than that in group ACCF (
P
< 0.05).
Conclusion
There were high fusion rates and excellent clinical outcomes in both ACDF and ACCF for treating two adjacent level CSM. However, there were less blood loss, less operation duration and better cervical lordosis in group ACDF than those in group ACCF.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-014-2123-4</identifier><identifier>PMID: 25424752</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Cervical Vertebrae - surgery ; Diskectomy ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopaedic Surgery ; Orthopedics ; Retrospective Studies ; Spinal Cord Diseases - etiology ; Spinal Cord Diseases - surgery ; Spinal Fusion ; Spondylosis - complications ; Spondylosis - surgery</subject><ispartof>Archives of orthopaedic and trauma surgery, 2015-02, Vol.135 (2), p.149-153</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2014). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-6ac391360ac18c18120cf0406f7026ae76f34651bffcc6cf2d7b70a4f14fe5423</citedby><cites>FETCH-LOGICAL-c508t-6ac391360ac18c18120cf0406f7026ae76f34651bffcc6cf2d7b70a4f14fe5423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-014-2123-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-014-2123-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25424752$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Jiaming</creatorcontrib><creatorcontrib>Chen, Xuanyin</creatorcontrib><creatorcontrib>Liu, Zhili</creatorcontrib><creatorcontrib>Long, Xinhua</creatorcontrib><creatorcontrib>Huang, Shanhu</creatorcontrib><creatorcontrib>Shu, Yong</creatorcontrib><title>Anterior cervical discectomy and fusion versus corpectomy and fusion in treating two-level adjacent cervical spondylotic myelopathy: a minimum 5-year follow-up study</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Objective
A retrospective study was performed to compare the clinical and radiological outcomes of two-level anterior cervical discectomy and fusion (ACDF) with those of single-level anterior cervical corpectomy and fusion (ACCF) in treating two adjacent level cervical spondylotic myelopathy (CSM) with at least 5-year follow-up.
Methods
A total of 46 consecutive patients who underwent surgery for the treatment of two-level CSM in our institution were evaluated from February 2002 to December 2007. In this series, 22 patients underwent two-level ACDF (group ACDF) and 24 received single-level ACCF (group ACCF). The operation duration, blood loss, perioperative complication, fusion rate, neural function (mJOA score) and the segmental lordosis of the surgical level were compared between the two groups.
Results
The mean follow-up time was 84.5 ± 13 months in group ACDF and 86 ± 11 months in group ACCF (
P
= 0.723). The rates of perioperative complications were 18.2 % in group ACDF and 20.8 % in group ACCF, respectively (
P
> 0.05). Although there was no significant difference in neural function (mJOA score) between the two groups at the final follow-up (
P
> 0.05), the blood loss and the operation duration were significantly less in group ACDF than those in group ACCF (
P
< 0.05). The fusion rates at the 12th week after surgery were 86.4 % (19/22) in group ACDF and 87.5 % (21/24) in group ACCF (
P
> 0.05). According to the radiographs measurement, the segmental lordosis at the surgical segment was significantly greater in group ACDF than that in group ACCF (
P
< 0.05).
Conclusion
There were high fusion rates and excellent clinical outcomes in both ACDF and ACCF for treating two adjacent level CSM. However, there were less blood loss, less operation duration and better cervical lordosis in group ACDF than those in group ACCF.</description><subject>Adult</subject><subject>Aged</subject><subject>Cervical Vertebrae - surgery</subject><subject>Diskectomy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopaedic Surgery</subject><subject>Orthopedics</subject><subject>Retrospective Studies</subject><subject>Spinal Cord Diseases - etiology</subject><subject>Spinal Cord Diseases - surgery</subject><subject>Spinal Fusion</subject><subject>Spondylosis - complications</subject><subject>Spondylosis - surgery</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc9qFTEUxoMo9tr6AG4k4Kab2CSTSWbcldKqUOjGrkNuJqm5ZJIxf26ZB_I9zeVWC4pwIIvzO985-T4A3hH8kWAsLjLGDFOECUOU0A6xF2BDWMdQNxL-Emzw2HE04J6cgDc57zAmdBjxa3BCe0aZ6OkG_LwMxSQXE9Qm7Z1WHk4ua6NLnFeowgRtzS4GuDcp1wx1TMu_TRdgSUYVFx5geYzIm73xUE07pU0oz9J5iWFafSxOw3k1Pi6qfF8_QQVnF9xcZ9ij1agEbfQ-PqK6wFzqtJ6BV1b5bN4-vafg_ub629UXdHv3-evV5S3SPR4K4kq3n3ccK02GVoRibZtF3ApMuTKC247xnmyt1ZprSyexFVgxS5g1zZLuFJwfdZcUf1STi5wPZnivgok1S8J72olRcNHQD3-hu1hTaNdJSjkZxUD52ChypHSKOSdj5ZLcrNIqCZaHDOUxQ9kylIcMJWsz75-U63Y205-J36E1gB6B3FrhwaTn1f9X_QVUlqpJ</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Liu, Jiaming</creator><creator>Chen, Xuanyin</creator><creator>Liu, Zhili</creator><creator>Long, Xinhua</creator><creator>Huang, Shanhu</creator><creator>Shu, Yong</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150201</creationdate><title>Anterior cervical discectomy and fusion versus corpectomy and fusion in treating two-level adjacent cervical spondylotic myelopathy: a minimum 5-year follow-up study</title><author>Liu, Jiaming ; Chen, Xuanyin ; Liu, Zhili ; Long, Xinhua ; Huang, Shanhu ; Shu, Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-6ac391360ac18c18120cf0406f7026ae76f34651bffcc6cf2d7b70a4f14fe5423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cervical Vertebrae - surgery</topic><topic>Diskectomy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopaedic Surgery</topic><topic>Orthopedics</topic><topic>Retrospective Studies</topic><topic>Spinal Cord Diseases - etiology</topic><topic>Spinal Cord Diseases - surgery</topic><topic>Spinal Fusion</topic><topic>Spondylosis - complications</topic><topic>Spondylosis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Jiaming</creatorcontrib><creatorcontrib>Chen, Xuanyin</creatorcontrib><creatorcontrib>Liu, Zhili</creatorcontrib><creatorcontrib>Long, Xinhua</creatorcontrib><creatorcontrib>Huang, Shanhu</creatorcontrib><creatorcontrib>Shu, Yong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Jiaming</au><au>Chen, Xuanyin</au><au>Liu, Zhili</au><au>Long, Xinhua</au><au>Huang, Shanhu</au><au>Shu, Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior cervical discectomy and fusion versus corpectomy and fusion in treating two-level adjacent cervical spondylotic myelopathy: a minimum 5-year follow-up study</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>135</volume><issue>2</issue><spage>149</spage><epage>153</epage><pages>149-153</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Objective
A retrospective study was performed to compare the clinical and radiological outcomes of two-level anterior cervical discectomy and fusion (ACDF) with those of single-level anterior cervical corpectomy and fusion (ACCF) in treating two adjacent level cervical spondylotic myelopathy (CSM) with at least 5-year follow-up.
Methods
A total of 46 consecutive patients who underwent surgery for the treatment of two-level CSM in our institution were evaluated from February 2002 to December 2007. In this series, 22 patients underwent two-level ACDF (group ACDF) and 24 received single-level ACCF (group ACCF). The operation duration, blood loss, perioperative complication, fusion rate, neural function (mJOA score) and the segmental lordosis of the surgical level were compared between the two groups.
Results
The mean follow-up time was 84.5 ± 13 months in group ACDF and 86 ± 11 months in group ACCF (
P
= 0.723). The rates of perioperative complications were 18.2 % in group ACDF and 20.8 % in group ACCF, respectively (
P
> 0.05). Although there was no significant difference in neural function (mJOA score) between the two groups at the final follow-up (
P
> 0.05), the blood loss and the operation duration were significantly less in group ACDF than those in group ACCF (
P
< 0.05). The fusion rates at the 12th week after surgery were 86.4 % (19/22) in group ACDF and 87.5 % (21/24) in group ACCF (
P
> 0.05). According to the radiographs measurement, the segmental lordosis at the surgical segment was significantly greater in group ACDF than that in group ACCF (
P
< 0.05).
Conclusion
There were high fusion rates and excellent clinical outcomes in both ACDF and ACCF for treating two adjacent level CSM. However, there were less blood loss, less operation duration and better cervical lordosis in group ACDF than those in group ACCF.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25424752</pmid><doi>10.1007/s00402-014-2123-4</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2015-02, Vol.135 (2), p.149-153 |
| issn | 0936-8051 1434-3916 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1652379767 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Cervical Vertebrae - surgery Diskectomy Female Follow-Up Studies Humans Male Medicine Medicine & Public Health Middle Aged Orthopaedic Surgery Orthopedics Retrospective Studies Spinal Cord Diseases - etiology Spinal Cord Diseases - surgery Spinal Fusion Spondylosis - complications Spondylosis - surgery |
| title | Anterior cervical discectomy and fusion versus corpectomy and fusion in treating two-level adjacent cervical spondylotic myelopathy: a minimum 5-year follow-up study |
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