Cervical degenerative disc disease may be alleviated by decompressive surgery with discectomy and fusion, with or without plating. Drawbacks to fusion include decreased range of motion of the cervical spine, adjacent disc degeneration due to uneven loading and possible subsequent surgery of the adjacent levels. Motion preservation surgery with artificial disc after descectomy decreases the risk of adjacent level disease and offers the advantage of no morbidities from donor site (iliac bone graft) and non-need for post-operative immobilization with cervical collar.

OBJECTIVE: This study aimed to describe the results of motion preservation surgery with artificial disc as compared to fusion surgery in the treatment of cervical degenerative disc disease.

METHODS: This study is a review of patients with cervical degenerative disc disease who underwent decompressive surgery. Comparison was made among those who underwent motion preservation surgery with Prestige LP (Group A) and those who underwent fusion surgery with plating (Group B) and without plating (Group C).

RESULTS: Majority of the patients underwent one to two level surgeries: 100% in Group A, 95.8% in Group B and 86.7% in Group C. Operative time and blood loss were similar among the three groups. Improvement after surgeries, based on the Nurick scale, were also comparable. Improvement of neurological status was noted in 85.7% (Group A), 100% (Group B) and 73.3% (Group C).

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This is a descriptive study of Tersons syndrome among patients with aneurysmal subarachnoid hemorrhage at the Philippine General Hospital. The incidence of Tersons syndrome was 13.4 percent. There were no statistically significant differences in outcomes among patients with and without Tersons syndrome. (Author)
Human ; EYE DISEASES ; EYE HEMORRHAGE ; RETINAL HEMORRHAGE ; VITREOUS HEMORRHAGE ; VITREOUS HEMORRHAGE/ETIOLOGY ; PROGNOSIS ; ANEURYSM ; SUBARACHNOID HEMORRHAGE

Terson's syndrome has been implicated by previous studies as a strong predictor of poor outcome of patients with subarachnoid hemorrhage. There was even a recommendation to place patients with the syndrome in the next less favorable category. Hence this study was designed to provide a general profile of patients with Terson's syndrome and investigate whether the syndrome correlates with poor outcome. This study was done using a prospective cohort of patients seen at the Philippine General Hospital pay and charity wards from July 1, 1999 to June 30, 2000 diagnosed to have aneurysmal subarachnoid hemorrhage. Detailed ophthalmological examination was done and data were collected using a standard database. Patients were then followed up at 2 weeks, 1 month and 3 months to determine outcome (using Glasgow Outcome Score). Data collected were subjected to univariate analysis using chi square and/or Fisher test to determine significant correlation of variables with Terson's syndrome and to determine significance of Terson's syndrome as a predictor of poor outcome. A total of 52 patients were included in the study. The general demographic profile of patients with Terson's syndrome was comparable to that of the study population. The frequency of Terson's syndrome was 13.4 percent. There were no statistically significant differences in outcomes among patients with and without Terson's syndrome. However, positive correlation between laterality of Terson's syndrome with the side of aneurysm was shown. Although results were not significant, funduscopic examination remains to be warranted as an important part of diagnostic work-up of aneurysmal subarachnoid hemorrhage patients. When present, the laterality of Terson's syndrome may give a clue to the presence and side of the aneurysm.

Human ; Subarachnoid Hemorrhage ; Charities ; Vitreous Hemorrhage ; Ophthalmoscopes ; Ophthalmoscopy ; Aneurysm