Search results for "Anterior cervical discectomy"

showing 10 items of 16 documents

Dysphagia Prevention in Anterior Cervical Discectomy Surgery: Results from a Prospective Clinical Study

2019

Background: Dysphagia is a common complication after anterior cervical discectomy surgery (ACDS). Recent studies have shown that reducing the endotracheal tube cuff pressure, local irrigation with methylprednisolone, and minimizing the pharynx/esophagus retraction can decrease the incidence of postoperative dysphagia after ACDS. This is the first study assessing the efficacy of all these 3 measures simultaneously. Methods: This prospective study included 35 patients (group 1) who underwent ACDS with the adoption of all the 3 preventive measures. Group 1 was compared with a homogenous group of 35 patients who underwent regular ACDS (group 2). Postoperative dysphagia and odynophagia were eval…

AdultMalemedicine.medical_specialtyPreventive measures03 medical and health sciencesEsophagusPostoperative Complications0302 clinical medicineIntubation Intratrachealotorhinolaryngologic diseasesmedicineHumansPostoperative PeriodEsophagusProspective cohort studyAnterior cervical discectomy surgeryAgedbusiness.industryIncidence (epidemiology)DysphagiaMiddle AgedDysphagiaSurgeryTracheaClinical trialSpinal Fusionmedicine.anatomical_structure030220 oncology & carcinogenesisCervical VertebraeFemaleSurgeryNeurology (clinical)medicine.symptomDeglutition DisordersComplicationbusinessBody mass indexOdynophagia030217 neurology & neurosurgeryDiskectomyFollow-Up StudiesWorld Neurosurgery
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Clinical and radiological features of hybrid surgery in multilevel cervical degenerative disc disease.

2015

Purpose: Although several studies have established the safety and efficacy of cervical disc arthroplasty (CDA) as compared to anterior cervical discectomy and fusion (ACDF), few studies have investigated the role of hybrid surgery (HS) that incorporates ACDF and CDA techniques in multilevel cervical degenerative disc disease (MLCDDD). Methods: This prospective study enrolled patients with MLCDDD who underwent HS. Twenty consecutive patients who underwent HS were compared with patients who underwent ACDF and CDA at the same level of surgery. Patients were followed up for more than 2 years. Intraoperative parameters, clinical features and outcome scores were recorded. Radiological assessments…

AdultMalemedicine.medical_specialtymedicine.medical_treatmentAnterior cervical discectomy and fusionIntervertebral Disc DegenerationFunctional scoreArtificial disc replacementDegenerative disc diseaselaw.inventionFollow-Up StudieRandomized controlled triallawmedicineHumansOrthopedics and Sports MedicineProspective StudiesProspective cohort studyAgedbusiness.industryAnterior cervical discectomy fusionMedicine (all)Middle Agedmedicine.diseaseArthroplastySurgeryProspective Studiemedicine.anatomical_structureSpinal FusionTreatment OutcomeSpinal fusionCervical VertebraeSurgeryFemalebusinessRange of motionHybrid surgeryCervical vertebraeHumanDiskectomyFollow-Up StudiesEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Hybrid Anterior Cervical Discectomy
and Fusion and Cervical Disc Arthroplasty: An Analysis of Short-Term Complications, Reoperations, and Readmissions

2022

Hybrid Anterior Cervical Discectomy and Fusion Cervical Disc ArthroplastyOrthopedics and Sports MedicineSurgeryNeurology (clinical)
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Comparison of 2 Zero-Profile Implants in the Treatment of Single-Level Cervical Spondylotic Myelopathy: A Preliminary Clinical Study of Cervical Disc…

2016

Objectives Cervical disc arthroplasty (CDA) with Discover prosthesis or anterior cervical discectomy and fusion (ACDF) with Zero-P cage has been widely used in the treatment of cervical spondylotic myelopathy (CSM). However, little is known about the comparison of the 2 zero-profile implants in the treatment of single-level CSM. The aim was to compare the clinical outcomes and radiographic parameters of CDA with Discover prosthesis and ACDF with Zero-P cage for the treatment of single-level CSM. Methods A total of 128 consecutive patients who underwent 1-level CDA with Discover prosthesis or ACDF with Zero-P cage for single-level CSM between September 2009 and December 2012 were included in…

MaleKinematicsPhysiologymedicine.medical_treatmentlcsh:MedicineAnterior cervical discectomy and fusionOssificationProsthesisLaryngology0302 clinical medicineMedicine and Health SciencesMedicine030212 general & internal medicineRange of Motion Articularlcsh:ScienceIntervertebral DiscProstheticsMultidisciplinaryPhysicsClassical MechanicsDysphagiaProstheses and ImplantsMiddle Agedmedicine.anatomical_structureTreatment OutcomeConnective TissueSpinal fusionPhysical SciencesCervical VertebraeFemaleBone RemodelingAnatomyRange of motionCervical vertebraeResearch ArticleBiotechnologyDiskectomyAdultmedicine.medical_specialtySurgical and Invasive Medical ProceduresSpinal Cord DiseasesArthroplasty03 medical and health sciencesMusculoskeletal System ProceduresFunctional spinal unitHumansArthroplasty ReplacementLigamentsbusiness.industrylcsh:RBiology and Life SciencesIntervertebral discArthroplastySurgeryBiological TissueSpinal FusionOtorhinolaryngologylcsh:QMedical Devices and EquipmentSpondylosisbusinessPhysiological Processes030217 neurology & neurosurgeryPLoS ONE
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Discover cervical disc arthroplasty versus anterior cervical discectomy and fusion in symptomatic cervical disc diseases: A meta-analysis.

2016

OBJECTIVE:Symptomatic cervical disc disease (SCDD) is a common degenerative disease, and Discover artificial cervical disc, a new-generation nonconstrained artificial disk, has been developed and performed gradually to treat it. We performed this meta-analysis to compare the efficacy and safety between Discover cervical disc arthroplasty (DCDA) and anterior cervical discectomy and fusion (ACDF) for SCDD. METHODS:An exhaustive literature search of PubMed, EMBASE, and the Cochrane Library was conducted to identify randomized controlled trials that compared DCDA with ACDF for patients suffering SCDD. A random-effect model was used. Results were reported as standardized mean difference or risk …

MalePhysiologymedicine.medical_treatmentSensory Physiologylcsh:MedicineAnterior cervical discectomy and fusionIntervertebral Disc DegenerationCochrane LibraryOssificationlaw.invention0302 clinical medicineMathematical and Statistical TechniquesRandomized controlled triallawMedicine and Health SciencesRange of Motion Articularlcsh:ScienceIntervertebral DiscRandomized Controlled Trials as Topic030222 orthopedicsProstheticsMultidisciplinaryMiddle AgedSensory SystemsTreatment OutcomeSomatosensory SystemResearch DesignMeta-analysisPhysical SciencesCervical VertebraeFemaleBone RemodelingRange of motionIntervertebral Disc DisplacementStatistics (Mathematics)DiskectomyResearch ArticleBiotechnologyAdultmedicine.medical_specialtyDrug Research and DevelopmentClinical Research DesignSurgical and Invasive Medical ProceduresResearch and Analysis MethodsArthroplasty03 medical and health sciencesMusculoskeletal System ProceduresmedicineHumansClinical TrialsStatistical MethodsPharmacologybusiness.industrylcsh:RBiology and Life SciencesPain SensationArthroplastyRandomized Controlled TrialsSurgeryAssistive TechnologiesStrictly standardized mean differenceRelative risklcsh:QMedical Devices and EquipmentAdverse EventsClinical MedicinebusinessPhysiological Processes030217 neurology & neurosurgeryMathematicsMeta-AnalysisNeurosciencePloS one
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Anterior cervical discectomy and fusion with ROI-C peek cage: cervical alignment and patient outcomes

2014

OBJECTIVE: The intersomatic cage ROI-C one is a new promising system in anterior cervical discectomy with subsequent fusion. METHODS: Patients were studied prospectively. ROI-C cages were used in consecutive 32 patients. Intraoperative parameters, clinical features and dysphagia scores were recorded. Radiographs evaluated the height of intervertebral space, the cervical Cobb angle and implant positioning. Data were collected on the last day of hospital stay, at 6 weeks, at 3, 6, 12 and 24 months. RESULTS: A total of 32 cages were implanted. One patient had transient dysphagia. The intervertebral height and the cervical Cobb angle were significantly improved at 24 months follow-up (P < 0.05)…

Malemedicine.medical_specialtyRadiographyAnterior cervical discectomy and fusionVertebral fusionmedicineHumanscervical discectomy fusion ACDFOrthopedics and Sports MedicineProspective StudiesProspective cohort studyAgedPain MeasurementNeck painNeck PainCobb anglebusiness.industrySettore MED/27 - NeurochirurgiaProstheses and ImplantsLength of StayMiddle AgedDysphagiaSurgerySpinal FusionTreatment OutcomeCervical VertebraeFemaleSurgeryImplantmedicine.symptomDeglutition DisordersbusinessDiskectomy
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Retrospective Data Analysis of Anterior Cervical Discectomies and Fusion Without Plate and Screws

2019

Abstract Surgical intervention in cervical disease can relieve neurological symptoms and improve life quality. This study aimed to analyse retrospective data of microscope-assisted anterior cervical discectomy and fusion (ACDF) surgeries. The retrospective study was carried out at the ORTO clinic, Rīga, Latvia, from 2013 to 2017. Data from 198 patients were extracted retrospectively. Data on patient gender, age, diagnosis, extent of operation, type of cage and the overall height of the implants were used. Comparative analysis was carried out with the SPSS 22 software. P &lt; 0.05 represented statistical significance. During the study period, 198 elective ACDF were carried out with increasin…

Orthodontics030222 orthopedics03 medical and health sciences0302 clinical medicineMultidisciplinaryGeneral interestScienceanterior cervical discectomyQcervical cages030217 neurology & neurosurgeryRetrospective dataProceedings of the Latvian Academy of Sciences. Section B, Natural Sciences
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Anterior cervical discectomy and fusion is more effective than cervical arthroplasty in relieving atypical symptoms in patients with cervical spondyl…

2022

Background and purpose Patients with cervical spondylosis often present with concurrent 'atypical symptoms' of unknown etiology that have been associated with cervical spondylotic disease, including dizziness, headache, nausea, tinnitus, blurred vision, palpitations, and memory and gastrointestinal disturbances. Few studies have addressed whether surgical intervention to treat classic symptoms of cervical spondylosis can also effectively alleviate atypical symptoms. Accordingly, the purpose of this study is to compare the ability of cervical arthroplasty (CA) and anterior cervical discectomy and fusion (ACDF) to alleviate atypical symptoms associated with cervical spondylosis. Materials and…

cervical arthroplastyatypical symptomcervical spondylosis sympathetic symptomSurgeryAnterior cervical discectomy fusion (ACDF)Neurology (clinical)General Medicine
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Financial Aspects of Cervical Disc Arthroplasty: A Narrative Review of Recent Literature

2020

Recently, there has been significant interest in understanding the cost-effectiveness of treatments in spine surgery as health care systems in the United States move toward value-based care and alternative payment models. Previous studies have shown comparable outcomes of cervical disc arthroplasty (CDA) and anterior cervical discectomy fusion; however, there is a lack of consensus on the cost-effectiveness of CDA to support full adoption. Evidence of the limitations of these cost-analysis studies also exists in the literature, including industry funding, potential selection bias, and varying methods of calculating value. The goal of this narrative review is to provide an overview of the co…

cervical disc arthroplastyTotal Disc Replacementmedicine.medical_specialtyCost effectivenessCost-Benefit Analysismedia_common.quotation_subjectmedicine.medical_treatmentAnterior cervical discectomy and fusionIntervertebral Disc Degeneration03 medical and health sciences0302 clinical medicineSpine surgeryHealth careHumansMedicinePatient Reported Outcome MeasuresRadiculopathyIntensive care medicinecost-effectivenesshealth care economics and organizationsmedia_commonSelection biasbusiness.industryArthroplastyUnited StatesSpinal Fusioncost-analysis studie030220 oncology & carcinogenesisCervical VertebraeCosts and Cost AnalysisSurgeryNarrative reviewQuality-Adjusted Life YearsNeurology (clinical)businessCervical discSpinal Cord Compression030217 neurology & neurosurgeryanterior cervical discectomy and fusionDiskectomy
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Safety and efficacy of cervical disc arthroplasty in preventing the adjacent segment disease: a meta-analysis of mid- to long-term outcomes in prospe…

2019

Objectives: Cervical disc arthroplasty (CDA) has become an alternative treatment for cervical radiculopathy and myelopathy. This technique preserves appropriate motion at both the index and adjacent disc levels and consequently may prevent adjacent segment degeneration (ASD). The authors performed a meta-analysis to compare the safety and efficacy of CDA to those of the gold standard, anterior cervical discectomy and fusion (ACDF). Both surgical and clinical parameters were employed to verify the hypothesis that CDA can reduce the risk of ASD. Methods: The meta-analysis comprised high-quality randomized controlled trials that compared CDA and ACDF treatments of cervical degenerative disc di…

cervical disc arthroplastymedicine.medical_specialtyVisual analogue scalemedicine.medical_treatmentAnterior cervical discectomy and fusionReview030204 cardiovascular system & hematologylaw.inventionDegenerative disc disease03 medical and health sciencesMyelopathy0302 clinical medicineRandomized controlled triallawmedicinePharmacology (medical)030212 general & internal medicineGeneral Pharmacology Toxicology and PharmaceuticsCDDDACDFNeck painChemical Health and Safetybusiness.industrycervical degenerative disc diseaseGeneral Medicinemedicine.diseaseArthroplastySurgerymeta-analysisCDAMeta-analysisrandomized controlled trialcervical total disc replacementCTDRmedicine.symptombusinessSafety Researchanterior cervical discectomy and fusionRCTTherapeutics and Clinical Risk Management
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