Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY

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SURGICAL TREATMENT OF CERVICAL DEGENERATIVE DISC DISEASE WITH MYELORADICULOPATHY: TWO-LEVEL ANTERIOR DISCECTOMY VERSUS ONE LEVEL ANTERIOR CORPECTOMY Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY Ahmet ALANAY, MD Kursat GANIYUSUFOGLU, MD Selhan KARADERELER, MD Mehmet AYDOGAN, MD Cagatay OZTURK, MD Azmi HAMZAOGLU, MD

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SURGICAL TREATMENT OF CERVICAL DEGENERATIVE DISC DISEASE WITH MYELORADICULOPATHY: TWO-LEVEL ANTERIOR DISCECTOMY VERSUS ONE LEVEL ANTERIOR CORPECTOMY. Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY. Ahmet ALANAY, MD Kursat GANIYUSUFOGLU, MD Selhan KARADERELER, MD - PowerPoint PPT Presentation

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Page 1: Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY

SURGICAL TREATMENT OF CERVICAL DEGENERATIVE DISC DISEASE WITH

MYELORADICULOPATHY: TWO-LEVEL ANTERIOR DISCECTOMY VERSUS ONE LEVEL ANTERIOR

CORPECTOMY

Istanbul Spine CenterFlorence Nightingale Hospital

Istanbul-TURKEY

Ahmet ALANAY, MD

Kursat GANIYUSUFOGLU, MD

Selhan KARADERELER, MD

Mehmet AYDOGAN, MD

Cagatay OZTURK, MD

Azmi HAMZAOGLU, MD

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PURPOSE The aim of this retrospective study is to compare two

fusion techniques with reference to perioperative and

radiological parameters and clinical outcomes.

MATERIALS & METHODS74 patients having surgery due to 2-level cervical

spondylotic myeloradiculopathy

Surgery;ACDF (two contiguous levels)

ACCF (single level including 2 disc spaces)

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MATERIALS & METHODS

The perioperative parameters

Hospitalization

Blood loss

Operation times

Complications

The radiologic parameters

Cervical lordosis

Fusion rate

The clinical parameters

Visual Analog Scale

[VAS] scores of neck

and arm pain

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RESULTSACDF ACCF

# of patients 47 27Mean age (y) 53.7 55.3

Male to Female ratio 21/26 11/16Mean F/U (m) 48.4 51.2

Perioperative parameters ACDF ACCF pHospitalization (day) 5.2 5.4 >0.05

Blood loss (cc) 283 342 >0.05Operation time (minutes) 180 210 >0.05

Complications* 4/47 2/27 >0.05

*ACDF: dura laceration in 1, hoarseness in 3 patients. *ACCF: dura laceration in 1, incomplete transient C5 palsy in 1 patient.

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RESULTSClinical Outcomes ACDF ACCF p

Preop neck VAS 5.6 5.4 >0.05

Postop neck VAS 2.8 2.5 >0.05

Preop arm VAS 6.2 5.9 >0.05

Postop arm VAS 2.7 2.6 >0.05

Radiological parameters

ACDF ACCF p

Fusion rate (%) 100 100 >0.05

Preop cervical lordosis (degrees)

18.3 17.4 >0.05

Postop cervical lordosis (degrees)

24.4 21.6 0.045

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MT, 47 y, M

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MT, 49 y, M

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CONCLUSION

Surgical management of 2-level cervical degenerative

disc disease with myeloradiculopathy by ACDF or ACCF

showed no significant differences in terms of clinical

symptom improvement and fusion rates.

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CONCLUSION

Although statistically insignificant, blood loss and

operation times were lower in ACDF group.

In addition, ACCF provided less improvement in cervical

lordosis.

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THANK YOU