Surgical Outcome of Anterior Cervical Decompression and Fusion in Patients with Cervical Spondylotic Myelopathy and Radiculopathy in Terms of Improvement of Pain

  • Hamayun Tahir Qazi Hussain Ahmed Medical complex Mti Nowshera /Nowshera Medical College Nowshera
  • Afzal Raza Max health hospital Islamabad
  • Mumtaz Ali Prime teaching hospital , Peshawar Medical College / Lady reading hospital Peshawar
  • Naseer Hassan Qazi Hussain Ahmed medical complex, Nowshera Medical College Nowshera MTI kpk.
  • Mohammad Ayaz Saidu Teaching hospital, Saidu Medical College Swat
  • Hina Arooj Advance Care Medical Facility AbuDhabi
  • Zulfiqar Ali Shah DHQ hospital, Charssada
Keywords: surgical outcome, ACDF, VAS, CSM, Radiculopathy

Abstract

Objective: Cervical spondylosis is a common degenerative condition leading to compression of nerve roots or spinal cord, causing radiculopathy or myelopathy. Anterior cervical decompression and fusion (ACDF) techniques are commonly recognized procedures in treating axial cervical spine pain and upper extremity radicular discomfort. The study analyzed the surgical outcome of anterior cervical decompression and fusion (ACDF) in cervical spondylotic myelopathy (CSM) and radiculopathy patients in terms of pain improvement.

Material and Methods: This descriptive case series analysis was performed at the Neuro Surgery department, Lady Reading Hospital Peshawar. A total of 146 patients between age 18 – 65 years meeting the inclusion criteria underwent anterior decompression &post-procedure improvement in pain of neck and arm/shoulder was determined using patient reported outcome (PRO) measure, namely visual analog scale (VAS) of 0-10 and a final outcome that is an improvement of pain, i.e., Mild to no pain (VAS score ≤3) was considered after 12 months.

Results: The mean age was 52 years ± 8.273. As regards gender distribution, 78% of patients were male, while 22% were female. The mean baseline VAS score was 6.5 ± 2.37, mean postoperative VAS score was 3.5 ± 1.161 with a mean point improvement in pain of 3.0 points (p-value < 0.05). 80% of patients had shown improvement in reducing pain, while 20% did not have shown any improvement.

Conclusion: This study revealed that independent of symptoms duration and presentation, patients reported dramatic improvements in neck and arm pain after ACDF.

Author Biographies

Hamayun Tahir, Qazi Hussain Ahmed Medical complex Mti Nowshera /Nowshera Medical College Nowshera

Senior Registrar ,Department of Neurosurgery

Afzal Raza, Max health hospital Islamabad

Senior Medical officer Department of orthopedics

Mumtaz Ali, Prime teaching hospital , Peshawar Medical College / Lady reading hospital Peshawar

Professor/in charge,Department  of Neurosurgery , prime teaching hospital peshawar

Naseer Hassan, Qazi Hussain Ahmed medical complex, Nowshera Medical College Nowshera MTI kpk.

Incharge and Assistant professor Department of Neurosurgery

Mohammad Ayaz, Saidu Teaching hospital, Saidu Medical College Swat

Medical officer Department of Neurosurgery

Hina Arooj, Advance Care Medical Facility AbuDhabi

Orthotics & prosthetics specialist

Zulfiqar Ali Shah, DHQ hospital, Charssada

Medical officer Department of Neurosurgery

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Published
2021-03-31
Section
Original Article