Tags

Type your tag names separated by a space and hit enter

Two-level anterior cervical discectomy versus one-level corpectomy in cervical spondylotic myelopathy.
Spine (Phila Pa 1976). 2009 Apr 01; 34(7):692-6.S

Abstract

STUDY DESIGN

A retrospective investigation of clinical and radiologic outcomes after surgical treatment for 2-level cervical spondylotic myelopathy (CSM).

OBJECTIVE

The study was undertaken to compare the outcomes of 2 different anterior approach types for 2-level CSM. Specifically, 2-level anterior cervical discectomy and fusion (ACDF) was compared with 1-level anterior cervical corpectomy and fusion (ACCF).

SUMMARY OF BACKGROUND DATA

The optimal surgical approach for 2-level CSM has not been defined, and thus, the relative merits of 2-level ACDF and 1-level ACCF remain controversial. However, few comparative studies have been conducted on these 2 surgical approaches.

METHODS

The authors reviewed the case histories of 31 patients that underwent surgical treatment for 2-level CSM from 2002 to 2006. Cases of myelopathy because of cervical ossification of posterior longitudinal ligament were excluded. Thirty-one patients (16 men and 15 women) of mean age 54.45 +/- 11.6 years (28 approximately 77) were included. The average follow-up period was 26.23 +/- 15.0 months (12 approximately 63). The authors compared perioperative parameters (hospital stays, bleeding amounts, operation times, complications), clinical parameters (Japanese Orthopedic Association scores, Visual Analog Scale scores for neck and arm pain), and radiologic parameters (total cervical range of motion, segmental range of motion, segmental height, cervical lordosis, fusion rate).

RESULTS

Of these above parameters, operation time (P = 0.001) and bleeding amount (P = 0.001) were significantly greater in the ACCF group, whereas segmental height (P = 0.018) and postoperative cervical lordosis (P = 0.009) were significantly lower in the ACCF group. However, other parameters were not significantly different in the 2 groups.

CONCLUSION

Surgical managements of 2-level CSM using ACDF or ACCF were found to be similar in terms of clinical outcomes. However, 2-level ACDF was found to be superior to 1-level ACCF in terms of operation times, bleeding amounts, and radiologic results.

Authors+Show Affiliations

Department of Neurosurgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19333101

Citation

Oh, Min Chul, et al. "Two-level Anterior Cervical Discectomy Versus One-level Corpectomy in Cervical Spondylotic Myelopathy." Spine, vol. 34, no. 7, 2009, pp. 692-6.
Oh MC, Zhang HY, Park JY, et al. Two-level anterior cervical discectomy versus one-level corpectomy in cervical spondylotic myelopathy. Spine. 2009;34(7):692-6.
Oh, M. C., Zhang, H. Y., Park, J. Y., & Kim, K. S. (2009). Two-level anterior cervical discectomy versus one-level corpectomy in cervical spondylotic myelopathy. Spine, 34(7), 692-6. https://doi.org/10.1097/BRS.0b013e318199690a
Oh MC, et al. Two-level Anterior Cervical Discectomy Versus One-level Corpectomy in Cervical Spondylotic Myelopathy. Spine. 2009 Apr 1;34(7):692-6. PubMed PMID: 19333101.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two-level anterior cervical discectomy versus one-level corpectomy in cervical spondylotic myelopathy. AU - Oh,Min Chul, AU - Zhang,Ho Yeol, AU - Park,Jeong Yoon, AU - Kim,Keun Su, PY - 2009/4/1/entrez PY - 2009/4/1/pubmed PY - 2009/7/1/medline SP - 692 EP - 6 JF - Spine JO - Spine VL - 34 IS - 7 N2 - STUDY DESIGN: A retrospective investigation of clinical and radiologic outcomes after surgical treatment for 2-level cervical spondylotic myelopathy (CSM). OBJECTIVE: The study was undertaken to compare the outcomes of 2 different anterior approach types for 2-level CSM. Specifically, 2-level anterior cervical discectomy and fusion (ACDF) was compared with 1-level anterior cervical corpectomy and fusion (ACCF). SUMMARY OF BACKGROUND DATA: The optimal surgical approach for 2-level CSM has not been defined, and thus, the relative merits of 2-level ACDF and 1-level ACCF remain controversial. However, few comparative studies have been conducted on these 2 surgical approaches. METHODS: The authors reviewed the case histories of 31 patients that underwent surgical treatment for 2-level CSM from 2002 to 2006. Cases of myelopathy because of cervical ossification of posterior longitudinal ligament were excluded. Thirty-one patients (16 men and 15 women) of mean age 54.45 +/- 11.6 years (28 approximately 77) were included. The average follow-up period was 26.23 +/- 15.0 months (12 approximately 63). The authors compared perioperative parameters (hospital stays, bleeding amounts, operation times, complications), clinical parameters (Japanese Orthopedic Association scores, Visual Analog Scale scores for neck and arm pain), and radiologic parameters (total cervical range of motion, segmental range of motion, segmental height, cervical lordosis, fusion rate). RESULTS: Of these above parameters, operation time (P = 0.001) and bleeding amount (P = 0.001) were significantly greater in the ACCF group, whereas segmental height (P = 0.018) and postoperative cervical lordosis (P = 0.009) were significantly lower in the ACCF group. However, other parameters were not significantly different in the 2 groups. CONCLUSION: Surgical managements of 2-level CSM using ACDF or ACCF were found to be similar in terms of clinical outcomes. However, 2-level ACDF was found to be superior to 1-level ACCF in terms of operation times, bleeding amounts, and radiologic results. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/19333101/Two_level_anterior_cervical_discectomy_versus_one_level_corpectomy_in_cervical_spondylotic_myelopathy_ L2 - http://dx.doi.org/10.1097/BRS.0b013e318199690a DB - PRIME DP - Unbound Medicine ER -