Anterior Cervical Discectomy, Fusion and stabilization by plate and screw–early experience

Authors

  • MA Islam Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • MA Islam Medical Officer, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • MA Habib Department of Neurology, BSMMU, Dhaka
  • N Sakeb Resident, Department of Orthopaedic Surgery, BSMMU, Dhaka

DOI:

https://doi.org/10.3329/bmrcb.v38i2.12884

Keywords:

Cervical Discectomy, Fusion

Abstract

Anterior cervical plating is commonly performed to stabilize anterior cervical fusion. The aim of the study was to evaluate the clinical and functional outcome, radiological fusion and operative complications in cases of cervical spondylotic myelopathy and radiculopathy who underwent Anterior Cervical Discectomy and Fusion (ACDF) by autograft and stabilized with plate and screw. We evaluated 16 consecutive patients (M: F=10:6) from January 2008 to December 2010 in Bangabandhu Sheikh Mujib Medical University (BSMMU) and different private hospitals in Dhaka, in cases where adequate conservative treatment failed. Single level ACDF by autograft and stabilization by plate and screw was done in 10 patients and 06 patients had two levels fusion. The mean follow up period was 18 months. The patients improved significantly (p<0.05) and the recovery rate was 87.50%. All patients showed radiological fusion (p<0.001). There was no hardware failure, graft extrusion or plate breakage. ACDF with plate and screw is fairly safe and effective therapy for cervical disc degeneration leading to myelo-radiculopathy where major post operative complications are uncommon.

DOI: http://dx.doi.org/10.3329/bmrcb.v38i2.12884

Bangladesh Med Res Counc Bull 2012; 38: 62-66

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Published

2012-12-09

How to Cite

Islam, M., Islam, M., Habib, M., & Sakeb, N. (2012). Anterior Cervical Discectomy, Fusion and stabilization by plate and screw–early experience. Bangladesh Medical Research Council Bulletin, 38(2), 62–66. https://doi.org/10.3329/bmrcb.v38i2.12884

Issue

Section

Research Papers