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- Title
STANDALONE ANCHORED SPACER REDUCES DYSPHAGIA RATE IN ANTERIOR CERVICAL DISCECTOMY AND FUSION.
- Authors
Ram, Ganesan Ganesan; Chander, V. C. Anil; Ganesan, Sudhir; Jayabalan, Vignesh; Kailash, Kannan Karthik
- Abstract
Background: A variable percentage of patients (2% to 67%) have either transient or prolonged post operative dysphagia with Anterior cervical discectomy with fusion using Smith and Robinson's technique. In this study, we have prospectively followed up patients who underwent Anterior Cervical Discectomy and Fusion (ACDF) in single or multiple levels using the Polyetheretherketone (PEEK) Prevail cervical interbody device (Medtronic, Memphis, TN) and its implication in dysphagia. Materials and Method: With institutional review board approval, we enrolled 40 patients between May 2014 to May 2016 suffering from single or two level degenerative cervical disc disease from C3-C4 to C7-T1. PEEK prevail device was used in all the 40 patients. Patients were evaluated pre operatively with VAS neck pain and arm pain scores expressed as 0 to 100 and neck pain and disability scores measured as 0 to 100. Clinical improvement was also graded by Odom's criteria at final follow up. Length and Severity of Post operative dysphagia were recorded by Bazaz's criteria at each follow up. Results: 15 of 37 patients followed up had symptoms of mild dysphagia (40%) at immediate post op period. Out of these 15, only 3(8%) had mild dysphagia at 3 months follow up. Conclusion: Rates of dysphagia using stand alone anchored spacer were much less when compared to anterior cervical decompression and fusion with plating and bone grafting/ interbody cages. Hence stand alone anchored spacer is a good alternative for plating and bone grafting/ interbody cages in anterior cervical decompression and fusion.
- Subjects
MEMPHIS (Tenn.); DISCECTOMY; LONGITUDINAL ligaments; NECK pain; DEGLUTITION disorders; REVIEW committees
- Publication
Sri Ramachandra Journal of Medicine, 2017, Vol 10, Issue 1, p1
- ISSN
0973-9939
- Publication type
Article