scholarly journals Posterior Cervical Keyhole Foraminotomy in Treatment of Cervical Radiculopathy Following Anterior Cervical Discectomy and Fusion

2017 ◽  
Vol 24 (1) ◽  
pp. 25-33
Author(s):  
Hazem Negm ◽  
Mohammad Shadad
Keyword(s):  
Cervical Radiculopathy ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Keyhole Foraminotomy

scholarly journals Treatment of cervical radiculopathy by anterior cervical discectomy and cage fusion

2012 ◽  
Vol 5 (1) ◽  
pp. 31
Author(s):  
OsmanA Mohamed ◽  
SamirA Al Shoura ◽  
FathyH Salama ◽  
Mohamed El-Menawy ◽  
MostafaA Al-Samee
Keyword(s):  
Cervical Radiculopathy ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

scholarly journals Partial uncinatectomy combined with anterior cervical discectomy and fusion for the treatment of one-level cervical radiculopathy: analysis of clinical efficacy and sagittal alignment

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Haimiti Abudouaini ◽  
Tingkui Wu ◽  
Hao Liu ◽  
Beiyu Wang ◽  
Hua Chen ◽  
...  
Keyword(s):  
Clinical Efficacy ◽  
Sagittal Alignment ◽  
Cervical Radiculopathy ◽  
Fusion Rate ◽  
Uncinate Process ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Cervical Sagittal Alignment ◽  
Uncovertebral Joint

Abstract Background Biomechanical studies have demonstrated that uncovertebral joint contributes to segment mobility and stability to a certain extent. Simultaneously, osteophytes arising from the uncinate process are a common cause of cervical spondylotic radiculopathy (CSR). For such patients, partial uncinatectomy (UT) may be required. However, the clinical efficacy and sagittal alignment of partial UT during anterior cervical discectomy and fusion (ACDF) have not been fully elucidated. Methods A total of 87 patients who had undergone single level ACDF using a zero-profile device from July 2014 to December 2018 were included. Based on whether the foraminal part of the uncovertebral joint was resected or preserved, the patients were divided into the ACDF with UT group (n = 37) and the ACDF without UT group (n = 50). Perioperative data, radiographic parameters, clinical outcomes, and complications were compared between the two groups. Results The mean follow-up was 16.86 ± 5.63 and 18.36 ± 7.51 months in the ACDF with UT group and ACDF without UT group, respectively (p > 0.05). The average preoperative VAS arm score was 5.89 ± 1.00 in the ACDF with UT group and 5.18 ± 1.21 in the ACDF without UT group (p = 0.038). However, the average VAS arm score was 4.22 ± 0.64, 4.06 ± 1.13 and 1.68 ± 0.71, 1.60 ± 0.70 at 1 week post operation and at final follow up, respectively, (p > 0.05). We also found that the C2-7 SVA and St-SVA at the last follow-up and their change (last follow-up value − preoperative value) in the ACDF with UT group were significantly higher than ACDF without UT group (p < 0.05). No marked differences in the other cervical sagittal parameters, fusion rate or complications, including dysphagia, ASD, and subsidence, were observed. Conclusions Our result indicates that ACDF using a zero-p implant with or without partial UT both provide satisfactory clinical efficacy and acceptable safety. However, additional partial UT may has a negative effect on cervical sagittal alignment.

scholarly journals Arteriogenic Thoracic Outlet Syndrome Presenting as Cervical Radiculopathy

2018 ◽  
Vol 53 (1) ◽  
pp. 79-81
Author(s):  
Nathan Todnem ◽  
Joseph Kilianski ◽  
Vamsi Reddy ◽  
Scott Rahimi
Keyword(s):  
Young Adult ◽  
Thoracic Outlet Syndrome ◽  
Cervical Radiculopathy ◽  
Accurate Diagnosis ◽  
Diagnostic Workup ◽  
Anterior Cervical Discectomy ◽  
Cerebral Angiogram ◽  
Medical Practitioners ◽  
Cervical Discectomy ◽  
Neurovascular Structures

Thoracic outlet syndrome (TOS) is an infrequent entity encountered by medical practitioners attributed to compression of the neurovascular structures passing through the thoracic outlet. Here, we report the presentation of a young adult who was referred for workup of cervical radiculopathy and was planned to undergo an anterior cervical discectomy and fusion. A dynamic cerebral angiogram was performed and confirmed the diagnosis of arteriogenic TOS. The etiology, presentation, and diagnostic workup of TOS are briefly discussed with emphasis placed on maintaining a healthy suspicion in order to differentiate from cervical radiculopathy, make an accurate diagnosis, and avoid inappropriate surgery.

scholarly journals Two-Year Clinical and Radiological Outcomes in Patients With Diabetes Undergoing Single-Level Anterior Cervical Discectomy and Fusion

2020 ◽  
pp. 219256822091488
Author(s):  
Paul M. Arnold ◽  
Alexander R. Vaccaro ◽  
Rick C. Sasso ◽  
Benoit Goulet ◽  
Michael G. Fehlings ◽  
...  
Keyword(s):  
Short Form ◽  
Secondary Analysis ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
Anterior Cervical Discectomy ◽  
Disc Disease ◽  
Cervical Discectomy ◽  
Single Level ◽  
Arm Pain ◽  
Patients With Diabetes

Study Design: Secondary analysis of data from the multicenter, randomized, parallel-controlled Food and Drug Administration (FDA) investigational device exemption study. Objective: Studies on outcomes following anterior cervical discectomy and fusion (ACDF) in individuals with diabetes are scarce. We compared 24-month radiological and clinical outcomes in individuals with and without diabetes undergoing single-level ACDF with either i-FACTOR or local autologous bone. Methods: Between 2006 and 2013, 319 individuals with single-level degenerative disc disease (DDD) and no previous fusion at the index level underwent ACDF. The presence of diabetes determined the 2 cohorts. Data collected included radiological fusion evaluation, neurological outcomes, Neck Disability Index (NDI), Visual Analog Scale (VAS) scores, and the 36-Item Short Form Survey Version 2 (SF-36v2) Physical and Mental component summary scores. Results: There were 35 individuals with diabetes (11.1%; average body mass index [BMI] = 32.99 kg/m2; SD = 5.72) and 284 without (average BMI = 28.32 kg/m2; SD = 5.67). The number of nondiabetic smokers was significantly higher than diabetic smokers: 73 (25.70%) and 3 (8.57%), respectively. Preoperative scores of NDI, VAS arm pain, and SF-36v2 were similar between the diabetic and nondiabetic participants at baseline; however, VAS neck pain differed significantly between the cohorts at baseline ( P = .0089). Maximum improvement for NDI, VAS neck and arm pain, and SF-36v2 PCS and MCS scores was seen at 6 months in both cohorts and remained stable until 24 months. Conclusions: ACDF is effective for cervical radiculopathy in patients with diabetes. Diabetes is not a contraindication for patients requiring single-level surgery for cervical DDD.

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