scholarly journals Risk Factors of Cage Subsidence in Patients with Ossification of Posterior Longitudinal Ligament (OPLL) After Anterior Cervical Discectomy and Fusion

2018 ◽  
Vol 24 ◽  
pp. 4753-4759 ◽  
Author(s):  
Baoyang Zhang ◽  
Shaoqing Li ◽  
Dechao Miao ◽  
Chong Zhao ◽  
Linfeng Wang
Keyword(s):  
Risk Factors ◽  
Posterior Longitudinal Ligament ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Cage Subsidence

Post-Operative Dysphagia in Anterior Cervical Discectomy and Fusion

2021 ◽  
pp. 000348942110155
Author(s):  
Leonard Haller ◽  
Khush Mehul Kharidia ◽  
Caitlin Bertelsen ◽  
Jeffrey Wang ◽  
Karla O’Dell
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Assessment Tool ◽  
Demographic Data ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Long Term Follow Up

Objective: We sought to identify risk factors associated with long-term dysphagia, characterize changes in dysphagia over time, and evaluate the incidence of otolaryngology referrals for patients with long-term dysphagia following anterior cervical discectomy with fusion (ACDF). Methods: About 56 patients who underwent ACDF between May 2017 to February 2019 were included in the study. All patients were assessed for dysphagia using the Eating Assessment Tool (EAT-10) survey preoperatively and late postoperatively (≥1 year). Additionally, 28 patients were assessed for dysphagia early postoperatively (2 weeks—3 months). Demographic data, medical comorbidities, intraoperative details, and post-operative otolaryngology referral rates were collected from electronic medical records. Results: Of the 56 patients enrolled, 21 patients (38%) had EAT-10 scores of 3 or more at long-term follow-up. None of the demographics, comorbidities, or surgical factors assessed were associated with long-term dysphagia. Patients who reported no long-term dysphagia had a mean EAT-10 score of 6.9 early postoperatively, while patients with long-term symptoms had a mean score of 18.1 ( P = .006). Of the 21 patients who reported persistent dysphagia symptoms, 3 (14%) received dysphagia testing or otolaryngology referrals post-operatively. Conclusion: Dysphagia is a notable side effect of ACDF surgery, but there are no significant demographics, comorbidities, or surgical risk factors that predict long-term dysphagia. Early postoperative characterization of dysphagia using the EAT-10 questionnaire can help predict long-term symptoms. There is inadequate screening and otolaryngology follow-up for patients with post-ACDF dysphagia.

Outcomes of contemporary use of rectangular titanium stand-alone cages in anterior cervical discectomy and fusion: Cage subsidence and cervical alignment

2012 ◽  
Vol 19 (12) ◽  
pp. 1673-1678 ◽  
Author(s):  
Toru Yamagata ◽  
Toshihiro Takami ◽  
Takehiro Uda ◽  
Hidetoshi Ikeda ◽  
Takashi Nagata ◽  
...  
Keyword(s):  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Cervical Alignment ◽  
Cage Subsidence ◽  
Fusion Cage

National Rates, Reasons, and Risk Factors for 30- and 90-Day Readmission and Reoperation Among Patients Undergoing Anterior Cervical Discectomy and Fusion

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Blake E. S. Taylor ◽  
Patrick Hilden ◽  
Rosemary T. Behmer Hansen ◽  
Anil Nanda ◽  
John L. Gillick
Keyword(s):  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

scholarly journals Risk factors of cage nonunion after anterior cervical discectomy and fusion

Medicine ◽  
2020 ◽  
Vol 99 (12) ◽  
pp. e19550 ◽  
Author(s):  
Bao Ren ◽  
Wenshan Gao ◽  
Jilong An ◽  
Menghui Wu ◽  
Yong Shen
Keyword(s):  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

scholarly journals Factors Influencing Interbody Cage Subsidence Following Anterior Cervical Discectomy and Fusion

2019 ◽  
Vol 32 (7) ◽  
pp. 297-302 ◽  
Author(s):  
Hidetoshi Igarashi ◽  
Masahiro Hoshino ◽  
Keita Omori ◽  
Hiromi Matsuzaki ◽  
Yasuhiro Nemoto ◽  
...  
Keyword(s):  
Anterior Cervical Discectomy ◽  
Interbody Cage ◽  
Cervical Discectomy ◽  
Factors Influencing ◽  
Cage Subsidence

P121. Utilizing double machine learning to discern risk factors for preoperative depression among anterior cervical discectomy and fusion (ACDF) patients

2021 ◽  
Vol 21 (9) ◽  
pp. S199-S200
Author(s):  
Conor Lynch ◽  
Elliot Cha ◽  
James Parrish ◽  
Nathaniel Jenkins ◽  
Caroline Jadczak ◽  
...  
Keyword(s):  
Machine Learning ◽  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

scholarly journals Long-Term Results of Multiple Anterior Cervical Discectomy with Cage Fusion Technique: Results of Multiple Centre Study

2019 ◽  
Vol 7 (17) ◽  
pp. 2824-2828 ◽  
Author(s):  
Hamdi Mostafa ◽  
Mohsen Lotfi ◽  
M. Wahid
Keyword(s):  
Neck Pain ◽  
Anterior Cervical Discectomy ◽  
Long Term Results ◽  
Cervical Disc ◽  
Fusion Technique ◽  
Cervical Discectomy ◽  
Cage Subsidence ◽  
Long Term Follow Up

BACKGROUND: Cervical herniation is commonly treated by anterior cervical discectomy and fusion (ACDF) if conservative management has failed in relief of the patient's symptoms. Disc fusion is needed after ACDF as anterior longitudinal ligament will be absent after doing the operation, especially if multiple levels are needed. The occurrence of complications as cage subsidence and adjacent segment failure related to the length of follow up as they are increasing in percentage is directly proportional to the length of follow up. AIM: Analysis of the results for patients who underwent 3 levels of ACDF with cage fusion for short term and long term follow up in multiple centres as the visual analogue score for neck pain & brachialgia. METHODS: This retrospective cohort series of 68 patients selected out of 136 patients suffering from 3 levels of degenerative cervical disc disease who were unresponsive to adequate conservative therapy. All cases were treated at one of the neurosurgery departments of 3 different hospitals (Naser institute for research and treatment hospital, Haram hospital for research and treatment and Misr university for science and technology) by the same surgical team in the period from February 2012 to February 2017. RESULTS: We found in this study;68 patients fulfilling the inclusion criteria, of the 29 patients underwent 3 levels of ACDF starting from C3-4 (42.65%) and 39 patients who underwent 3 levels of ACDF starting from C4-5 (57.35%). Clinical assessment for VAS pain score for both neck pain and radiculopathy were done before the surgery and immediately post-operative and during each time follow up visit and we found statistically significant immediate postoperative improvement. (P ˂ 0.05) CONCLUSION: Stand-alone three levels of an anterior cervical discectomy with cage fusion technique improved the clinical outcomes on long term follow up.

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