Results of Anterior Cervical Discectomy and Fusion for the Treatment of Single Level Cervical Spondylotic Myelopathy

Chaudhary R*, Islam Md. A**

Abstract


Introduction: Cervical spondylotic myelopathy (CSM) is a common spinal cord disorder that develops in elderly people. Anterior cervical discectomy and fusion is an effective and reliable procedure for the treatment of CSM.


Method: This Retrospective study was conducted in the department of Orthopedics, Bangubandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from March 2015 to August 2017. Forty patients with CSM diagnosed on the basis of presenting complains, clinical examination and investigations were enrolled in this study. History of the patients was collected, clinical examination was done and relevant investigation was done for each patients. In this study Nurick grading score was used for evaluation of the result.


Result: Male were predominant in this study. Mean age of the patients was 45.9±9.1 years. Both sides were affected in 14 (35.0%) cases, only right side was affected in 15 (37.5%) cases and only left side was affected in 11 (27.5%) cases. Involved disc spaces were C3/4 (10.0%), C4/5 (22.5%), C5/6 (42.5%) and C6/7 (25.0%). Transient dysphagia was observed in 2 (5.0%) cases, transient paraparesis in 1 (2.5%) case, wound infection in 1 (2.5%) case and damage to durra in 1 (2.5%) case. Sign of fusion was observed in 10 (25.0%) cases after 3 months, in 30 (75.0%) cases after 6 months and in all patients after 12 months. Result was found excellent in 35 (87.5%) and good in 5 (12.5%) cases.


Conclusion: Anterior cervical discectomy and fusion is an effective procedure for the management of cervical spondylotic myelopathy.


Key words: Anterior Cervical Discectomy and Fusion, Cervical Spondylotic Myelopathy, Nurick`s score.

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