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THE RESULTS OF ANTERIOR CERVICAL DISCECTOMY AND FUSION FOR TREATMENT OF THE CERVICAL DISC HERNIATION AT CAN THO CENTRAL GENERAL HOSPITAL
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Abstract
Background: Cervical disc herniation is a disease caused by degenerative cervical disc herniation, causing compression of the cervical spinal cord or nerve roots. Previous papers demonstrated that anterior surgical treatment of intervertebral disc fusion using autologous bone from the iliac crest is a gold standard in the treatment of disc herniation. Objective: To describe clinical and paraclinical characteristics and evaluate the results of treatment of cervical disc herniation by anterior cervical discectomy and fusion at Can Tho Central General Hospital from 2021-2022. Materials and methods: A cross-sectional descriptive study on 36 patients with cervical disc herniation operated by anterior cervical discectomy and fusion at Can Tho Central General Hospital from February 2021 to November 2021. Results: Myelopathy was most seen in 77.8% of the patients, myeloradiculopathy and radiculopathy were respectively seen in 16.6% and 5.6%.Location of hernia: C4-C5 level most (44.4%), C5-C6 level (36.1%). 80.1% of patients had their cervical lordosis restored. The recovery ratio of JOA showed good and excellent results accounting for 88.24%, while acceptable results accounted for 11.76%. Conclusion: Disc herniation in the cervical spine was surgically removed by anterior discectomy and fusion to relieve spinal cord and nerve root compression, with a very high rate of anatomical and functional recovery that demonstrated good outcomes with excellent anatomical and functional recovery.
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Keywords
Anterior cervical discectomy and fusion, autograft bone, cervical spondylosis, disc hernia
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