Effect of decompression extent of cervical anterior approach on cervical spondylotic radiculopathy
LIU Yadong1 KONG Chao2 CUI Libin1 WANG Yanhui1 CHEN Xueming1
1.Department of Spinal Surgery, Bone Center, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China;
2.Department of Orthopedics, Beijing Xuanwu Hospital, Capital Medical University, Beijing 100053, China
Abstract：Objective To investigate the effect of decompression extent of cervical anterior approach on cervical spondylotic radiculopathy (CSR). Methods From January 2016 to January 2018, 84 CSR patients were performed with anterior cervical discectomy and fusion (ACDF) in Beijing Luhe Hospital, Capital Medical University. According to degree of remission at the postoperative follow-up, the patients were divided into two groups (complete remission group, 73 cases and incomplete remission group, 11 cases). Compressive areas in operative level, visual analogue scale (VAS) and neck disability index (NDI) of patients were recorded at pre-operation and postoperative follow-up. Intra-operative blood loss and duration of operation were recorded. The post-operation and on short and midium term complications were also concerned. Results All of the patients were performed with operation successfully, average of duration of operation was (131.45±9.45) min and average of intra-operative blood loss was (51.23±31.16) mL. Postoperative VAS and NDI scores in both groups were lower than those before operation, and the area of pressure substance in both groups was smaller than that before operation, there was significant difference between two groups (P ＜ 0.05). Postoperative VAS and NDI scores of complete remission group were lower than those of incomplete remission group, and the area of pressure substance of complete remission group was smaller than that of incomplete remission group, there was significant difference between two groups (P ＜ 0.05). There was no vertebral artery injury or hematoma formation during perioperative period in all patients. Conclusion ACDF is a valid method for the therapy of CSR, but residual symptom of partial patients may be related with incomplete decompression. Complete decompression would not markedly increase the complications.
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2019, Vol. 16 
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