Anterior cervical discectomy and fusion with titanium cages for simple or multilevel herniated discs and spur of the cervical spine: Report of 2 cases and experience in Bali.
This report presents two cases of cervicobrachialgia and radiculopathy due to multiple cervical herniated discs and spur formation that dealt with anterior cervical discectomy and fusion (ACDF) using different titanium interbody cages. The description of the clinical presentation, magnetic resonance imaging (MRI) appearances and management strategy are discussed. Both cases showed chronic neck pain and radiating pain from the shoulder to the arm. They had a history of blurry vision, cluster head ache, weakness, and numbness on the shoulder for 2 years. MRI revealed multiple herniated discs between C4-7 and accompanied by the spur formation leading to the narrowness of the spinal canal and its foramina bilaterally. ACDF were performed and complete decompression of the spinal canal and its foramina were carried out. Twin M-cages (Ammtec Inc.-Japan) were placed in the first case at C5-7 levels and single cage of Smith Robinson (SR) was placed in the second case at C5-6 levels. There were no more blurry vision, cluster headache, weakness, and numbness, immediately after surgery. To our knowledge, this is the first reported cases of ACDF, using twin M-cages and single SR cage in Indonesia, with improvement immediately after surgery. Cervical spondylosis can present with cervicobrachialgia and radiculopathy and surgical treatment produces good functional outcome.
Department of Neurosurgery, Udayana University-Sanglah Hospital, Bali, Indonesia.
G B
GB
Mahadewa Tjokorda
Department of Neurosurgery, Udayana University-Sanglah Hospital, Bali, Indonesia.
Golden
G
Nyoman
Department of Neurosurgery, Udayana University-Sanglah Hospital, Bali, Indonesia.
Maliawan
M
Sri
Center for Spine and Spinal Cord Disorders, Southern Tohoku General Hospital, Iwanuma, Miyagi, Japan.
Mizuno
M
Junichi
Anterior cervical discectomy and fusion; M-cages; cervical disc herniation; immediate improvement
J Spinal Disord Tech. 2003 Aug;16(4):307-13
12902945
Acta Neurochir (Wien). 2001;143(7):707-10
11534692
Spine (Phila Pa 1976). 2003 Aug 1;28(15 Suppl):S15-23
12897469
AORN J. 2002 Dec;76(6):996-1004, 1007-8; quiz 1009-12
12528488
J Am Acad Orthop Surg. 2001 Nov-Dec;9(6):376-88
11767723
J Neurosurg Spine. 2005 Apr;2(4):403-10
15871478
J Spinal Disord Tech. 2003 Oct;16(5):441-9
14526192
Spine (Phila Pa 1976). 2003 Jun 1;28(11):1171-5
12782988
J Spinal Disord. 2001 Feb;14(1):3-9
11242268
J Neurosurg. 2003 Jan;98(1 Suppl):8-13
12546382
Spine (Phila Pa 1976). 2002 Jan 15;27(2):146-51
11805659
Neurosurgery. 2003 Sep;53(3):770-2; discussion 772-3
12943594
J Orthop Sci. 2002;7(3):313-6
12077655
Spine J. 2002 May-Jun;2(3):197-203
14589493
J Neurosurg. 2002 Jan;96(1 Suppl):17-21
11795709