Clinical effectiveness of anterior cervical discectomy and fusion to treat cervical spondylosis using anterior cervical system

Authors

  • Prashant Kumar Centre of Excellence in Industrial and Product Design, Punjab Engineering College, Chandigarh, India
  • Mohit Kumar Regulatory Department, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India
  • Pooja Rawat Regulatory Department, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India
  • Gaurav Luthra Regulatory Department, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20194605

Keywords:

Anterior cervical, Spondylosis, Discectomy and fusion, Cervical fracture

Abstract

Background: Age related problems in the spinal segment bring about a degenerative course known as spondylosis. Hereditary, condition, and word related impacts may play a role. These spondylosis changes may bring about direct compressive and ischemic dysfunction of the spinal cord known as cervical spondylosis.

Methods: In this examination 30 patients were selected with cervical spondylosis with, in the fundamental, myelography includes, and treated by anterior cervical discectomy and fusion using anterior cervical system (Apex plate) provided by Auxein Medical Pvt. Ltd. These patients are separated in two gatherings, one is male (12) and another female (18).  Functional outcome of the patients was assessed by the visual analogue scale score at post-operative follow up at 1months, 3 months, 6 months, 9 months and 1 year.

Results: The after effects of this clinically treatment have by and large been great and this is especially so in old patients with an alternate injury, for example, C1-C2, C2-C3, C3-C4, C4-C5, C5-C6 and C6-C7.

Conclusions: The finish of this examination is that the cervical spondylosis patients might be oversees effectively with anterior cervical discectomy and fusion utilizing anterior cervical system. Effectively clinical outcomes in regards to indications improvement and general fulfillment with the surgery were excellent with low rate of complications.

Author Biography

Prashant Kumar, Centre of Excellence in Industrial and Product Design, Punjab Engineering College, Chandigarh, India

Industrial and Product Design

References

Shelerud RA, Paynter KS. Rarer causes of radiculopathy: spinal tumors, infections, and other unusual causes. Phys Med Rehabil Clin N Am. 2002;13:645-96.

Tetreault L, Goldstein CL, Arnold P. Degenerative Cervical Myelopathy: A Spectrum of Related Disorders Affecting the Aging Spine. Neurosurgery. 2015;77(4):51-67.

Carette S, Fehlings MG. Cervical Radiculopathy. N Engl J Med. 2005;353:392-9.

Baptiste DC, Fehlings MG. Pathophysiology of cervical myelopathy. Spine J. 2006;6:190-7.

Mobbs RJ, Coughlan M, Thompson R. The utility of 3D printing for surgical planning and patient-specific implant design for complex spinal pathologies: case report. J Neurosurg Spine. 2017;26:513-8.

Xu N, Wei F, Liu X. Reconstruction of the Upper Cervical Spine Using a Personalized 3D-Printed Vertebral Body in an Adolescent with Ewing Sarcoma. Spine. 2016;41:50-4.

Li X, Wang Y, Zhao Y. Multilevel 3D Printing Implant for Reconstructing Cervical Spine with Metastatic Papillary Thyroid Carcinoma. Spine 2017;42:1326-30.

Adams CBT, Logue V. Studies in cervical spondylotic myelopathy III. Some functional effects of operations for cervical spondylotlc myelopathy. Brain. 1971;94:587-94.

ClowardR. B., The anterior approach of removal of ruptured cervical discs. J. Neurosurg. 1958;15:602-17.

Cloward RB, Vertebral body fusion for ruptured cervical disc. Description of instruments and operative technic. Amer J Surg.1959;98:722-7.

Moussa AH, Nitta M, Symon L. The Results of Anterior Cervical Fusion in Cervical Spondylosis, Acta Neurochinargica. 1983;68:277-88.

Mandal S, Banerjee U. Analysis of the outcome in patients with cervical spondylotic myelopathy, undergone canal expansive laminoplasty supported with instrumentation in a group of Indian population: a prospective study. Int J Spine Surg. 2016;10:17.

Wang L, Song Y, Liu L. Clinical outcomes oftwo different types of open-door laminoplasties for cervical compressive myelopathy: a prospective study. Neurol India. 2012;60(2):210-6.

Downloads

Published

2019-10-22

Issue

Section

Original Research Articles