Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study
Purpose We evaluated radiologic and clinical outcomes to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior corpectomy and fusion (ACCF) for multilevel cervical spondylotic myelopathy (CSM). Methods A total of 40 patients who underwent ACDF or ACCF for multilevel CSM...
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| Veröffentlicht in: | European spine journal 2012-08, Vol.21 (8), p.1551-1557 |
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| creator | Song, Kyung-Jin Lee, Kwang-Bok Song, Ji-Hoon |
| description | Purpose
We evaluated radiologic and clinical outcomes to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior corpectomy and fusion (ACCF) for multilevel cervical spondylotic myelopathy (CSM).
Methods
A total of 40 patients who underwent ACDF or ACCF for multilevel CSM were divided into two groups. Group A (
n
= 25) underwent ACDF and group B (
n
= 15) ACCF. Clinical outcomes (JOA and VAS scores), perioperative parameters (length of hospital stay, blood loss, operation time), radiological parameters (fusion rate, segmental height, cervical lordosis), and complications were compared.
Results
Both group A and group B demonstrated significant increases in JOA scores and significant decreases in VAS. Patients who underwent ACDF experienced significantly shorter hospital stays (
p
= 0.031), less blood loss (
p
= 0.001), and shorter operation times (
p
= 0.024). Both groups showed significant increases in postoperative cervical lordosis and achieved satisfactory fusion rates (88.0 and 93.3 %, respectively). There were no significant differences in the incidence of complications among the groups.
Conclusions
Both ACDF and ACCF provide satisfactory clinical outcomes and fusion rates for multilevel CSM. However, multilevel ACDF is associated with better radiologic parameters, shorter hospital stays, less blood loss, and shorter operative times. |
| doi_str_mv | 10.1007/s00586-012-2296-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3535261</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1093452311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-5cfccb0b48feaefc941d69bfca67a845e98c1cc4b6c8527ca029331c4ee044c23</originalsourceid><addsrcrecordid>eNqNks1u1DAURiMEotPCA7BBltiwMfgvmZgFEqpaQKrEBtaWc2O3rpw42PG0eSceEo9SRgMIiVUW37nH8fVXVS8oeUMJ2b5NhNRtgwllmDHZ4PtH1YYKzjCRnD2uNkQKgpstlSfVaUq3hNBakuZpdcJYzZpGyk3148JaBxoWFCwasp-dNzvjkR5nE12ICEzcFcCj3iUwMIdhKWGPbE4ujGhnYsoJQYjT36Et80fOgypNYewXH2YHaFiMD5Oeb5Z3SKPBjW7IA6rxYnQsAu_DHc4TSnPul2fVE6t9Ms8fvmfVt8uLr-ef8NWXj5_PP1xhqAmfcQ0WoCOdaK3RxoIUtG9kZ0E3W92K2sgWKIDoGmhrtgVNmOScgjCGCAGMn1XvV--Uu8H0YMY5aq-m6AYdFxW0U78no7tR12GneM3LYmkRvH4QxPA9mzSrYb897_VoQk6KlgcSNeP0f1BejJRKWdBXf6C3IcexbGKluGjkXkhXCmJIKRp7-G9K1L42aq2NKrVR-9qo-zLz8vjCh4lfPSkAW4FUovHaxOOj_2X9CRDk1GE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1032634691</pqid></control><display><type>article</type><title>Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Song, Kyung-Jin ; Lee, Kwang-Bok ; Song, Ji-Hoon</creator><creatorcontrib>Song, Kyung-Jin ; Lee, Kwang-Bok ; Song, Ji-Hoon</creatorcontrib><description>Purpose
We evaluated radiologic and clinical outcomes to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior corpectomy and fusion (ACCF) for multilevel cervical spondylotic myelopathy (CSM).
Methods
A total of 40 patients who underwent ACDF or ACCF for multilevel CSM were divided into two groups. Group A (
n
= 25) underwent ACDF and group B (
n
= 15) ACCF. Clinical outcomes (JOA and VAS scores), perioperative parameters (length of hospital stay, blood loss, operation time), radiological parameters (fusion rate, segmental height, cervical lordosis), and complications were compared.
Results
Both group A and group B demonstrated significant increases in JOA scores and significant decreases in VAS. Patients who underwent ACDF experienced significantly shorter hospital stays (
p
= 0.031), less blood loss (
p
= 0.001), and shorter operation times (
p
= 0.024). Both groups showed significant increases in postoperative cervical lordosis and achieved satisfactory fusion rates (88.0 and 93.3 %, respectively). There were no significant differences in the incidence of complications among the groups.
Conclusions
Both ACDF and ACCF provide satisfactory clinical outcomes and fusion rates for multilevel CSM. However, multilevel ACDF is associated with better radiologic parameters, shorter hospital stays, less blood loss, and shorter operative times.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-012-2296-x</identifier><identifier>PMID: 22526699</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Blood ; Bone surgery ; Central nervous system diseases ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - surgery ; Diskectomy - methods ; Female ; Follow-Up Studies ; Hospitals ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Original ; Original Article ; Radiography ; Spinal cord ; Spinal Fusion - methods ; Spine ; Spondylosis - diagnostic imaging ; Spondylosis - surgery ; Surgical Orthopedics ; Treatment Outcome</subject><ispartof>European spine journal, 2012-08, Vol.21 (8), p.1551-1557</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-5cfccb0b48feaefc941d69bfca67a845e98c1cc4b6c8527ca029331c4ee044c23</citedby><cites>FETCH-LOGICAL-c503t-5cfccb0b48feaefc941d69bfca67a845e98c1cc4b6c8527ca029331c4ee044c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535261/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535261/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,41493,42562,51324,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22526699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Song, Kyung-Jin</creatorcontrib><creatorcontrib>Lee, Kwang-Bok</creatorcontrib><creatorcontrib>Song, Ji-Hoon</creatorcontrib><title>Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
We evaluated radiologic and clinical outcomes to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior corpectomy and fusion (ACCF) for multilevel cervical spondylotic myelopathy (CSM).
Methods
A total of 40 patients who underwent ACDF or ACCF for multilevel CSM were divided into two groups. Group A (
n
= 25) underwent ACDF and group B (
n
= 15) ACCF. Clinical outcomes (JOA and VAS scores), perioperative parameters (length of hospital stay, blood loss, operation time), radiological parameters (fusion rate, segmental height, cervical lordosis), and complications were compared.
Results
Both group A and group B demonstrated significant increases in JOA scores and significant decreases in VAS. Patients who underwent ACDF experienced significantly shorter hospital stays (
p
= 0.031), less blood loss (
p
= 0.001), and shorter operation times (
p
= 0.024). Both groups showed significant increases in postoperative cervical lordosis and achieved satisfactory fusion rates (88.0 and 93.3 %, respectively). There were no significant differences in the incidence of complications among the groups.
Conclusions
Both ACDF and ACCF provide satisfactory clinical outcomes and fusion rates for multilevel CSM. However, multilevel ACDF is associated with better radiologic parameters, shorter hospital stays, less blood loss, and shorter operative times.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood</subject><subject>Bone surgery</subject><subject>Central nervous system diseases</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - surgery</subject><subject>Diskectomy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Original</subject><subject>Original Article</subject><subject>Radiography</subject><subject>Spinal cord</subject><subject>Spinal Fusion - methods</subject><subject>Spine</subject><subject>Spondylosis - diagnostic imaging</subject><subject>Spondylosis - surgery</subject><subject>Surgical Orthopedics</subject><subject>Treatment Outcome</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNks1u1DAURiMEotPCA7BBltiwMfgvmZgFEqpaQKrEBtaWc2O3rpw42PG0eSceEo9SRgMIiVUW37nH8fVXVS8oeUMJ2b5NhNRtgwllmDHZ4PtH1YYKzjCRnD2uNkQKgpstlSfVaUq3hNBakuZpdcJYzZpGyk3148JaBxoWFCwasp-dNzvjkR5nE12ICEzcFcCj3iUwMIdhKWGPbE4ujGhnYsoJQYjT36Et80fOgypNYewXH2YHaFiMD5Oeb5Z3SKPBjW7IA6rxYnQsAu_DHc4TSnPul2fVE6t9Ms8fvmfVt8uLr-ef8NWXj5_PP1xhqAmfcQ0WoCOdaK3RxoIUtG9kZ0E3W92K2sgWKIDoGmhrtgVNmOScgjCGCAGMn1XvV--Uu8H0YMY5aq-m6AYdFxW0U78no7tR12GneM3LYmkRvH4QxPA9mzSrYb897_VoQk6KlgcSNeP0f1BejJRKWdBXf6C3IcexbGKluGjkXkhXCmJIKRp7-G9K1L42aq2NKrVR-9qo-zLz8vjCh4lfPSkAW4FUovHaxOOj_2X9CRDk1GE</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Song, Kyung-Jin</creator><creator>Lee, Kwang-Bok</creator><creator>Song, Ji-Hoon</creator><general>Springer-Verlag</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>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</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>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120801</creationdate><title>Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study</title><author>Song, Kyung-Jin ; Lee, Kwang-Bok ; Song, Ji-Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-5cfccb0b48feaefc941d69bfca67a845e98c1cc4b6c8527ca029331c4ee044c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blood</topic><topic>Bone surgery</topic><topic>Central nervous system diseases</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - surgery</topic><topic>Diskectomy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Radiography</topic><topic>Spinal cord</topic><topic>Spinal Fusion - methods</topic><topic>Spine</topic><topic>Spondylosis - diagnostic imaging</topic><topic>Spondylosis - surgery</topic><topic>Surgical Orthopedics</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, Kyung-Jin</creatorcontrib><creatorcontrib>Lee, Kwang-Bok</creatorcontrib><creatorcontrib>Song, Ji-Hoon</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>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</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>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, Kyung-Jin</au><au>Lee, Kwang-Bok</au><au>Song, Ji-Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>21</volume><issue>8</issue><spage>1551</spage><epage>1557</epage><pages>1551-1557</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
We evaluated radiologic and clinical outcomes to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior corpectomy and fusion (ACCF) for multilevel cervical spondylotic myelopathy (CSM).
Methods
A total of 40 patients who underwent ACDF or ACCF for multilevel CSM were divided into two groups. Group A (
n
= 25) underwent ACDF and group B (
n
= 15) ACCF. Clinical outcomes (JOA and VAS scores), perioperative parameters (length of hospital stay, blood loss, operation time), radiological parameters (fusion rate, segmental height, cervical lordosis), and complications were compared.
Results
Both group A and group B demonstrated significant increases in JOA scores and significant decreases in VAS. Patients who underwent ACDF experienced significantly shorter hospital stays (
p
= 0.031), less blood loss (
p
= 0.001), and shorter operation times (
p
= 0.024). Both groups showed significant increases in postoperative cervical lordosis and achieved satisfactory fusion rates (88.0 and 93.3 %, respectively). There were no significant differences in the incidence of complications among the groups.
Conclusions
Both ACDF and ACCF provide satisfactory clinical outcomes and fusion rates for multilevel CSM. However, multilevel ACDF is associated with better radiologic parameters, shorter hospital stays, less blood loss, and shorter operative times.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22526699</pmid><doi>10.1007/s00586-012-2296-x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2012-08, Vol.21 (8), p.1551-1557 |
| issn | 0940-6719 1432-0932 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3535261 |
| source | MEDLINE; Springer Online Journals Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adult Aged Blood Bone surgery Central nervous system diseases Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - surgery Diskectomy - methods Female Follow-Up Studies Hospitals Humans Male Medicine Medicine & Public Health Middle Aged Neurosurgery Original Original Article Radiography Spinal cord Spinal Fusion - methods Spine Spondylosis - diagnostic imaging Spondylosis - surgery Surgical Orthopedics Treatment Outcome |
| title | Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study |
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