Curative effect analysis of anterior cervical discectomy and fusion in patients with cervical spondylosis of vertebral artery type
10.12200/j.issn.1003-0034.20221051
- VernacularTitle:椎动脉型颈椎病行颈前路椎间盘切除减压植骨融合术的疗效分析
- Author:
Yi-Xiang AI
1
;
Jian-Tao LIU
;
Ding-Jun HAO
;
Xi GONG
;
Yi-Han ZHU
;
Xing-Yuan LI
;
Xi-Wei ZHANG
;
Kao WANG
;
Jia-Jun SUN
;
Shu-Yuan ZHANG
Author Information
1. 西安交通大学附属红会医院脊柱外科,陕西 西安 710054
- Keywords:
Cervical spondylosis of vertebral artery type;
Anterior cervical discectomy and fusion;
Cervical vertigo
- From:
China Journal of Orthopaedics and Traumatology
2024;37(7):670-675
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of anterior cervical discectomy and fusion(ACDF)in the treatment of cervical spondylosis of vertebral artery type(CSA).Methods The clinical data of 42 patients with CSA from January 2020 to January 2022 were retrospectively analyzed.There were 25 males and 17 females,aged from 30 to 74 years old with an average of(53.9±11.0)years old.There were 18 cases with single-segment lesions,17 cases with two-segment lesions,and 7 cases with three-segment lesions.The American Academy of Otolaryngology-Head and Neck Surgery's Hearing and Balance Committee score(CHE),the Neck Disability Index(NDI)and the cervical curvature Cobb angle were recorded before surgery and after surgery at 6 months.Results All 42 ACDF patients were followed up for 6 to 30 months with an average of(14.0±5.2)months.The operative time ranged from 95 to 220 min with an average of(160.38±36.77)min,the intraoperative blood loss ranged from 30 to 85 ml with an average of(53.60±18.98)ml.Tow patients had mild postoperative dysphagia,which improved with symptomatic treatment such as nebulized inhalation.CHE score decreased from(4.05±0.96)preoperatively to(2.40±0.70)at 6 months postoperatively(t=12.97,P＜0.05).The number of improved vertigo at 6 months postoperatively was 38,with an im-provement rate of 90.5％.NDI score was reduced from(34.43±8.04)preoperatively to(20.76±3.91)at 6 months postopera-tively(t=1 1.83,P＜0.05).The cervical curvature Cobb angle improved from(8.04±6.70)° preoperatively to(12.42±5.23)° at 6 months postoperatively(t=-15.96,P＜0.05).Conclusion The ACDF procedure has outstanding clinical efficacy in treating CSA.The operation can rapidly relieve patients'episodic vertigo symptoms by relieving bony compression and reconstructing cervical curvature.However,it is necessary to strictly grasp the indications for surgery and clarify the causes of vertigo in pa-tients,and ACDF surgery is recommended for CSA patients for whom conservative treatment is ineffective.
