Outcome of Three Levels Prefilled Cervical Interbody Fusion without Plates after Anterior Cervical Discectomy

Authors

  • Ameer Majeed Kareem M.B.Ch.B., F.I.C.M.S. (Neurosurgery), Kurdistan Ministry of Health, Erbil Health Department, Erbil Teaching Hospital, Erbil, Iraq
  • Salim Mardan Omer M.B.Ch.B., F.I.C.M.S. (Neurosurgery), Ministry of Higher Education and Scientific Research, Kirkuk University, College of Medicine, Kirkuk, Iraq
  • Haider Ali Hamood AL-Ogaily M.B.Ch.B., F.I.B.M.S. (Orthopedic Surgery), (Fellowship Spine Surgery), Iraqi Board in Orthopedic Surgery and Fellowship of Spine Surgery, Iraqi Ministry of Health, Baghdad Al-Russafa Health Directorate, AL-Kindy Teaching Hospital, Baghdad, Iraq
  • Ali Qais Abdulkafi M.B.Ch.B., D.C.H. (Pediatrics), Iraqi Ministry of Health, Kirkuk Health Department, Kirkuk Teaching Hospital, Kirkuk, Iraq
  • Tareq Jawad kadem Al-Rubayee M.B.Ch.B., M.R.C.S., Irelan, Diploma General Surgery, Ministry of Higher Education and Scientific Research, AL-Rasheed University College, Department of Pharmacy, Baghdad, Iraq

Keywords:

Cervical disc, Anterior discectomy, cervical intervertebral body cage fusion

Abstract

Prefilled Cervical interbody fusion by synthetic bone without plate Facilitates the retention of physiological lordosis and cervical spine stability in patients who have undergone cervical discectomy by anterior approach, a secure and efficacious treatment for disc herniation or spondylosis. Several spine specialists advocate the incorporation of a plate system to boost outcomes. According to literature findings, surgery involving three levels results in reduced fusion rates. Sixty-three person with cervical radicular pain and nine with myelopathy underwent anterior discectomy and fusion with prefilled or (Impregnated) cervical cages by anterior approach between July 2012 and June 2022 were included in the study without using plate systems. There was a total of 72 individuals, comprising of 48 males and 24 females, whose average age amounted to 54.33 years, falling within a range of 33 to 73 years, In variable hospitals of Erbil city. All cases took (an MRI), and 35 among them also took a C-Scan for preoperative assessment. All cases exhibited improvement in radiculopathy following surgery. However, myelopathy persisted in only three patients. After 12 months, 96% of patients demonstrated the fusion of surgically treated discs, as confirmed by an X-ray of the cervical spine region. Cervical lordosis was reinstated in nearly all patients who had lost it prior to the operation. No complications stemming from cage extrusion were reported and there were no instances of symptomatic pseudarthrosis. The inclusion of impregnated interbody fusions serves to impart a load-sharing capability and enhance spinal stability, thereby resulting in augmented segmental stiffness. This, in turn, leads to similar fusion rates as those elicited by bone grafts, even in cases of cervical degenerative disease spanning three levels.

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References

H. H. Bohlman, S. E. Emery, D. B. Goodfellow, and P. K. Jones, "Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients," J Bone Joint Surg Am, vol. 75, pp. 1298-1307, 1993.

A. S. Hilibrand, G. D. Carlson, M. A. Palumbo, P. K. Jones, and H. H. Bohlman, "Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis," J Bone Joint Surg Am, vol. 81, pp. 519-528, 1999.

P. Barsa and P. Suchomel, "Factors affecting sagittal malalignment due to cag subsidence in standalone cage assisted anterior cervical fusion," Euro Spine J, vol. 16, pp. 1395-1400, 2007.

J. C. Cauthen et al., "Outcome analysis of noninstrumented anterior cervical discectomy and interbody fusion in 348 patients," Spine (Phila Pa 1976), vol. 23, pp. 188-192, 1998.

D. Y. Cho, W. Y. Lee, and P. C. Shew, "Treatment of multilevel cervical fusion with cages," Surg Neurol, vol. 62, pp. 378-385; discussion 385-386, 2004.

R. B. Cloward, "The anterior approach for removal of the ruptured cervical disc," J Neurosurg, vol. 15, pp. 602-617, 1958.

S. E. Emery, J. R. Fisher, and H. H. Bohlman, "Three-level anterior cervical discectomy and fusion: radiographic and clinical results," Spine (Phila Pa 1976), vol. 22, pp. 2622-2625, 1997.

K. N. Fountas et al., "Anterior cervical discectomy and fusion associated complications," Spine (Phila Pa 1976), vol. 32, pp. 2310-2317, 2007.

J. F. Fraser and R. Härtl, "Anterior approaches to fusion of the cervical spine: a meta-analysis of fusion rates," J Neurosurg Spine, vol. 6, pp. 298-303, 2007.

S. K. Ha et al., "Radiologic Assessment of subsidence in Stand-Alone Cervical Polyetheretherketone (PEEK) cage," J Korean Neurosurg Soc, vol. 44, pp. 370-374, 2008.

F. Kandziora et al., "Treatment of traumatic cervical spine instability with interbody fusion cages: a prospective controlled study with a 2-year follow-up," Injury, vol. 36, Suppl 2, pp. B27-B35, 2005.

E. Kast et al., "Subsidence after anterior cervical interbody fusion. A randomized prospective clinical trial," Neurosurg Rev, vol. 32, pp. 207-214, 2009.

M. E. Majd, M. Vadhva, and R. T. Holt, "Anterior cervical reconstruction using titanium cages with anterior plating," Spine (Phila Pa 1976), vol. 24, pp. 1604-1610, 1999.

D. K. Resnick and G. R. Trost, "Use of ventral plates for cervical arthrodesis," Neurosurgery, vol. 60, pp. S112-S117, 2007.

H. J. Wilke et al., "Subsidence resulting from simulated postoperative neck movements: an in vitro investigation with a new cervical fusion cage," Spine, vol. 25, pp. 2762-2770, 2000.

J. C. Wang et al., "Increased fusion rates with cervical plating for two-level anterior cervical discectomy and fusion," Spine (Phila Pa 1976), vol. 25, no. 2, pp. 163-169, 2000.

B. Zoëga, J. Kärrholm, and B. Lind, "Plate fixation adds stability to two-level anterior fusion in the cervical spine: a randomized study using radiostereometry," Euro Spine J, vol. 7, pp. 302-307, 1998.

R. B. Cloward, "The anterior approach for removal of ruptured cervical disks," J Neurosurg, vol. 15, pp. 602-617, 1958.

R. J. Hacker et al., "A prospective randomized multicenter clinical evaluation of an anterior cervical fusion cage," Spine, vol. 25, pp. 2646-2655, 2000.

G. J. Martin Jr et al., "Anterior cervical discectomy with freeze-dried fibula allograft. Overview of 317 cases and literature review," Spine (Phila Pa 1976), vol. 24, pp. 852-859, 1999.

R. A. Robinson, A. E. Walker, D. C. Ferlic, et al., "The results of the anterior interbody fusion of the cervical spine," J Bone Joint Surg Am, vol. 44, pp. 1569-1587, 1962.

J. Rosenorn, E. B. Hansen, and M. A. Rosenorn, "Anterior cervical discectomy with and without fusion. A prospective study," J Neurosurg, vol. 59, pp. 252-255, 1983.

S. Savolainen, J. Rinne, and J. Hernesniemi, "A prospective randomized study of anterior single-level cervical disc operations with long-term follow-up: surgical fusion is unnecessary," Neurosurgery, vol. 43, pp. 51-55, 1998.

V. K. H. Sonntag and P. Klara, "Controversy in spine care. Is fusion necessary after anterior cervical discectomy?" Spine, vol. 21, pp. 1111-1113, 1996.

W. Thorell, J. Cooper, L. Hellbusch, et al., "The long-term clinical outcome of patients undergoing anterior cervical discectomy with and without intervertebral bone graft placement," Neurosurgery, vol. 43, pp. 268-274, 1998.

A. N. Martins, "Anterior cervical discectomy with and without interbody bone graft," J Neurosurg, vol. 44, pp. 290-295, 1976.

W. C. Watters III and R. Levinthal, "Anterior cervical discectomy with and without fusion. Results, complications, and long-term follow-up," Spine, vol. 19, pp. 2343-2347, 1994.

T. A. Zdeblick, M. E. Cooke, D. N. Kunz, et al., "Anterior cervical discectomy and fusion using a porous hydroxyapatite bone graft substitute," Spine, vol. 19, pp. 2348-2357, 1994.

Q. Shizhi et al., "Segmental anterior decompression and fusion for multilevel ossification of the posterior longitudinal ligament," Orthopedics, vol. 35, pp. e403-e408, 2012.

J. T. Robertson, S. M. Papadopoulos, and V. C. Traynelis, "Assessment of adjacent-segment disease in patients treated with cervical fusion or arthroplasty: A prospective 2-year study," J Neurosurg Spine, vol. 3, pp. 417-423, 2005.

S. W. Kim, M. A. Limson, S. B. Kim, et al., "Comparison of radiographic changes after ACDF versus Bryan disc arthroplasty in single and bi-level cases," Eur Spine J, vol. 18, pp. 218-231, 2009.

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Published

2024-04-19

How to Cite

Kareem, A. M., Omer, S. M., AL-Ogaily, H. A. H., Abdulkafi, A. Q., & Al-Rubayee, T. J. kadem. (2024). Outcome of Three Levels Prefilled Cervical Interbody Fusion without Plates after Anterior Cervical Discectomy. INTERNATIONAL JOURNAL OF HEALTH SYSTEMS AND MEDICAL SCIENCES, 3(2), 67–76. Retrieved from https://inter-publishing.com/index.php/IJHSMS/article/view/3493

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