Outcome analyses of interbody titanium cage fusion used in the anterior discectomy for cervical degenerative disc disease.
Anterior discectomy and fusion to treat cervical degenerative disc disease is the preferred procedure for many spine surgeons. The ideal device for structural reconstruction of the anterior cervical spine remains controversial. The purpose of this prospective study was to investigate the effectiveness of a non-threaded titanium cage in performing anterior spinal fusion for cervical degenerative disc disease. The clinical and radiologic data of 78 consecutive patients were reviewed. Neurologic outcome was assessed using Odom's criteria. Neck pain was graded using a 10-point visual analog scale. The cervical spinal curvature, the height of foramina, and fusion status were evaluated on preoperative and postoperative radiographs. Mean follow-up was 24.9 (range 18-35) months. An excellent or good result was found in 92% of the patients with radiculopathy, 69% of those with myelopathy, and 73% of those with myeloradiculopathy. Statistical analyses also showed improvement of cervical pain after surgery (P < 0.001) and a significant increase in foraminal height (P = 0.035). Cervical kyphosis was present in 27 (34%) patients before surgery; it was corrected to lordosis in 9. The fusion rate at 12 months and 24 months was 91% and 95%, respectively. No surgery or cage-related complication occurred in these patients. Non-threaded interbody cage fusion in this study achieved a high fusion rate and had a good neurologic outcome. These results suggest that non-threaded cage fusion is a safe and effective method for anterior cervical discectomy.
Hwang
Shiuh-Lin
SL
Division of Neurosurgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Hwang
Yan-Fen
YF
Lieu
Ann-Shung
AS
Lin
Chih-Lung
CL
Kuo
Tai-Hung
TH
Su
Yu-Feng
YF
Howng
Shen-Long
SL
Lee
Kung-Shing
KS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D017586:Diskectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D007403:Intervertebral Disc / Q000000981:diagnostic imaging / Q000601:surgery*; D007738:Kyphosis / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000503:physiopathology; D010147:Pain Measurement; D011184:Postoperative Period; D011446:Prospective Studies; D011859:Radiography; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D014025:Titanium; D016896:Treatment Outcome
D014025:Titanium