Three-level Anterior Cervical Discectomy and Fusion with Cervical Plate.
10.4184/jkss.2002.9.3.238
- Author:
Suk Ha LEE
1
;
Sung Tae LEE
;
Yong Keun LEE
;
Jae Ik SHIM
;
Taik Seon KIM
;
Young Bae KIM
;
Hyun Sik AHN
Author Information
1. Department of Orthopedic Surgery, Korea Veterans Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Cervical spine;
Anterior discectomy;
3-level fusion;
Orion plate
- MeSH:
Animals;
Arthrodesis;
Diskectomy*;
Humans;
Intervertebral Disc;
Lordosis;
Retrospective Studies;
Transplants
- From:Journal of Korean Society of Spine Surgery
2002;9(3):238-244
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Retrospective study. OBJECTIVES: To evaluate the clinical and radiological outcomes by the method of three-level anterior cervical discectomy and fusion with cervical plate. SUMMARY OF LITERATURE REVIEW: The arthrodesis rate and outcome for patients having three-level anterior cervical discectomy and fusion procedures is disappointing. The success of arthrodesis depends on several factors including bone graft type, size, and additional anterior plate fixation. MATERIALS AND METHODS: Five patients (average age, 69 years; all males) were observed. All had a anterior discectomy, placement of autogenous tricortical iliac bone graft at three-levels and application of a Orion plate. Clinical and radiologic results of bony union, cervical lordosis and intervertebral disc height were assessed. RESULTS: All clinical symptoms of patients had been resolved after operation. The postoperative scores by the criteria of Odom are 2 in excellent and 3 in good. The bony unions were achieved in all cases in the average 12 weeks after surgery (minimum 8 weeks, maximum 20 weeks). The sum of three-level intervertebral disc height in average was increased from 14.8 mm preoperatively to 25.4 mm postoperatively. The average angle of cervical lordosis was corrected from 18o preoperatively to 27o postoperatively. CONCLUSIONS: The three-level anterior cervical discectomy and fusion with Orion plate and autogenous tricortical iliac bone graft results in effective surgical treatment, which produces good clinical outcome, early and solid bony union, restoration of the normal cervical lordosis and disc space height.
