Standalone cage versus anchored cage for anterior cervical discectomy and fusion: a comparative analysis of clinical and radiological outcomes View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-07-05

AUTHORS

Niharika Virkar, Pramod Bhilare, Shailesh Hadgaonkar, Ajay Kothari, Parag Sancheti, Siddharth Aiyer

ABSTRACT

PurposeThe use of standalone cages (SAC) and anchored cages (AC) in anterior cervical discectomy and fusion surgery (ACDF) has shown advantage of reduced operative time and lower incidence of dysphagia. However, there is limited literature available comparing the clinical and radiological outcomes of SAC and AC.MethodsWe conducted a prospective study for patients undergoing ACDF for cervical radiculopathy or myelopathy. Patient were classified based on the cage used into SAC group and the AC group. Clinical outcomes were assessed using the modified Japanese Orthopedic Association (mJOA) for myelopathy and Neck Disability Index (NDI) and Visual Analogue Scale (VAS) for radiculopathy. Dysphagia was graded as per Bazaz score. Radiologically, global cervical lordosis, segmental lordosis, cage subsidence, and migration were assessed.ResultsWe analyzed 31 patients in each group with a minimum two year follow-up. The mean VAS improved from 7.9 to 4.56, mean NDI score improved from 27.6 to 19.8, and mean mJOA improved from 10.8 to 11.7 which were statistically significant (p < 0.05); however, no significant difference was noted between the SAC and AC groups. Mean global lordosis improved from 14.4 to 20.3° and mean segmental lordosis improved from 6 to 10.1° at six months and plateaued to 6.9° at final follow up without any significant difference between the groups. The subsidence was statistically more in 12.9% (4/31) in SAC than 6.4% (2/31) in AC.ConclusionAC showed of lower rates of subsidence while both SAC and AC had comparable clinical outcomes and radiological alignment outcomes. More... »

PAGES

2339-2345

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-022-05493-z

DOI

http://dx.doi.org/10.1007/s00264-022-05493-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1149252020

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35790547


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