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Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY

SURGICAL TREATMENT OF CERVICAL DEGENERATIVE DISC DISEASE WITH MYELORADICULOPATHY: TWO-LEVEL ANTERIOR DISCECTOMY VERSUS ONE LEVEL ANTERIOR CORPECTOMY. Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY. Ahmet ALANAY, MD Kursat GANIYUSUFOGLU, MD Selhan KARADERELER, MD

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Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY

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  1. SURGICAL TREATMENT OF CERVICAL DEGENERATIVE DISC DISEASE WITH MYELORADICULOPATHY: TWO-LEVEL ANTERIOR DISCECTOMY VERSUS ONE LEVEL ANTERIOR CORPECTOMY Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY Ahmet ALANAY, MD Kursat GANIYUSUFOGLU, MD Selhan KARADERELER, MD Mehmet AYDOGAN, MD Cagatay OZTURK, MD Azmi HAMZAOGLU, MD

  2. PURPOSE • The aim of this retrospective study is to compare two fusion techniques with reference to perioperative and radiological parameters and clinical outcomes. MATERIALS & METHODS • 74 patientshavingsurgerydueto 2-levelcervicalspondyloticmyeloradiculopathy • Surgery; • ACDF (twocontiguouslevels) • ACCF (singlelevelincluding 2 discspaces)

  3. MATERIALS & METHODS • Theradiologicparameters • Cervicallordosis • Fusion rate • Theclinicalparameters • VisualAnalogScale [VAS] scores of neckandarmpain The perioperativeparameters • Hospitalization • Blood loss • Operation times • Complications

  4. RESULTS • *ACDF: dura laceration in 1, hoarseness in 3 patients. • *ACCF: dura laceration in 1, incomplete transient C5 palsy in 1 patient.

  5. RESULTS

  6. MT, 47 y, M

  7. MT, 49 y, M

  8. CONCLUSION • Surgical management of 2-level cervical degenerative disc disease with myeloradiculopathy by ACDF or ACCF showed no significant differences in terms of clinical symptom improvement and fusion rates.

  9. CONCLUSION • Although statistically insignificant, blood loss and operation times were lower in ACDF group. • In addition, ACCF provided less improvement in cervical lordosis.

  10. THANK YOU

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