Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Romanian Neurosurgery

The Journal of Romanian Society of Neurosurgery

4 Issues per year

Open Access
Online
ISSN
2344-4959
See all formats and pricing
More options …

Surgery in cervical disc herniation: anterior cervical discectomy without fusion or with fusion

Andrei Stefan Iencean
  • PhD Student, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Iasi, Romania
  • Department of Neurosurgery, “N. Oblu” Emergency Hospital Iasi, Romania
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-03-30 | DOI: https://doi.org/10.1515/romneu-2017-0008

Abstract

The study included a group of anterior cervical microdiscectomy without fusion performed at one level (either C5-C6 level or at the C6-C7 level) and a second group of patients with same single-level of anterior cervical discectomy with fusion. The kinematic analysis included the range of motion, anteroposterior translation and disc height assessed for the cervical functional spinal units at the operated level and adjacent levels. At the operated level the range of motion and the translation were minimal in the anterior cervical discectomy without fusion group, both for the C5-C6 and C6-C7 levels, and absent in the cervical discectomy with fusion group. The superior adjacent levels translations were greater in the ACDF group compared with the ACD group. The clinical results of both types of cervical discectomy were comparable. In cervical microdiscectomy without fusion the elastic fibrous intradiscal scar at the operated level allows a small degree of mobility and the adjacent cervical levels are not overstressed. No need for anterior cervical discectomy with fusion to trait a single level cervical disc herniation than in selected cases.

Keywords: anterior cervical discectomy without fusion; anterior cervical discectomy with fusion; elastic fibrous intradiscal scar; postoperative intervertebral translation

References

  • 1. Gebremariam L, Koes BW, Peul WC, Huisstede BM. Evaluation of treatment effectiveness for the herniated cervical disc: A systematic review. Spine 2012; 37:E109-118.CrossrefGoogle Scholar

  • 2. Caruso R, Pesce A, Marrocco L, Wierzbicki V. Anterior approach to the cervical spine for treatment of spondylosis or disc herniation: Long-term results. Comparison between ACD, ACDF, TDR. Clin Ter 2014; 165: e263-270.Google Scholar

  • 3. Song KJ, Choi BY. Current concepts of anterior cervical discectomy and fusion: A review of literature. Asian Spine J 2014; 8: 531-539.CrossrefGoogle Scholar

  • 4. Yang J, Hai Y, Pang C, Li H, Zu D, Zhu G, Xia X, Pei B. Biomechanical study on the effect of the length of cervical anterior fusion on adjacent levels. Zhonghua Wai Ke Za Zhi 2014; 52: 692-696.Google Scholar

  • 5. Xia LZ, Zheng YP, Xu HG, Liu P. Effect of anterior cervical discectomy and fusion on adjacent segments in rabbits. Int J Clin Exp Med 2014; 7: 4291-4299.Google Scholar

  • 6. Oktenoglu T, Cosar M, Ozer AF, Iplikcioglu C, Sasani M, Canbulat N, Sarioglu AC. Anterior cervical microdiscectomy with or without fusion. J Spinal Disord Tech 2007; 20: 361-368.CrossrefWeb of ScienceGoogle Scholar

  • 7. Rosenthal P, Kim KD. Cervical adjacent segment pathology following fusion: Is it due to fusion? World J Orthop 2013;4: 112-113.Google Scholar

  • 8. Wu SK, Kuo LC, Lan HC, Tsai SW, Chen CL, Su FC. The quantitative measurements of the intervertebral angulation and translation during cervical flexion and extension. Eur Spine J 2007; 16: 1435-1444Web of ScienceCrossrefGoogle Scholar

  • 9. Lundine KM, Davis G, Rogers M, Staples M, Quan G. Prevalence of adjacent segment disc degeneration in patients undergoing anterior cervical discectomy andfusion based on pre-operative MRI findings. J Clin Neurosci 2014;21: 82-85.CrossrefGoogle Scholar

  • 10. Rihn JA, Lawrence J, Gates C, Harris E, Hilibrand AS. Adjacent segment disease after cervical spine fusion. Instr Course Lect 2009; 58: 747-756.Google Scholar

  • 11. Sheth JH, Patankar AP, Shah R. Anterior cervical microdiscectomy: is bone grafting and in-situ fusion with instrumentation required? Br J Neurosurg 2012; 26: 12-15.Web of ScienceCrossrefGoogle Scholar

  • 12. Nandoe Tewarie RD, Bartels RH, Peul WC. Long-term outcome after anterior cervical discectomy without fusion. Eur Spine J 2007; 16: 1411-1416.Web of ScienceCrossrefGoogle Scholar

About the article

Published Online: 2017-03-30

Published in Print: 2017-03-01


Citation Information: Romanian Neurosurgery, Volume 31, Issue 1, Pages 54–58, ISSN (Online) 2344-4959, ISSN (Print) 1220-8841, DOI: https://doi.org/10.1515/romneu-2017-0008.

Export Citation

© 2017 Andrei Stefan Iencean, published by De Gruyter Open. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

Comments (0)

Please log in or register to comment.
Log in