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anterior_cervical_discectomy

Anterior cervical discectomy

The anterior cervical discectomy (ACD) alone, has been reported to achieve similar clinical outcome that anterior cervical discectomy and fusion without needing intervertebral bone grafts or spacers to get solid fusion.

Risks

ACD is known to be associated with a higher risk either of residual increased neck and shoulder pain 1) 2) or of developing a postoperative kyphotic deformity of the cervical spine 3) ; and this, in turn, can lead to the development of degenerative changes at adjacent levels.

1)
LUNSFORD LD, BISSONETTE DJ, JANNETTA PJ, SHEPTAK PE, ZORUB DS. Anterior surgery for cervical disc dis- ease: Part-1 treatment of lateral cervical disc herni- ation in 253 cases. J Neurosurg 1980; 53: 1-11.
2)
LUNSFORD LD, BISSONETTE DJ, ZORUB DS. Anterior surgery for cervical disc disease: Part-2 treatment of cervical spondylotic myelopathy in 32 cases. J Neurosurg 1980; 53: 12-19.
3)
ABD-ALRAHMAN N, DOKMAK AS, ABOU-MADAWI A. An- terior cervical discectomy (ACD) versus anterior cervical fusion (ACF), clinical and radiological outcome study. Acta Neurochir (Wien) 1999; 141: 1089-1092.
anterior_cervical_discectomy.txt · Last modified: 2015/03/01 20:31 (external edit)