ABSTRACT
Background: Anterior cervical discectomy is a surgicalprocedure done commonly nowadays for patients with cervicaldisc prolapse.Objectives: The aim of this study was to evaluate the earlyclinical outcome of anterior cervical discectomy and fusion withtitanium cages.Materials and Methods: This study was conducted in 36consecutive cases referred to Department of Neurosurgery,SSG Civil Hospital, Baroda Medical College, Baroda, Gujarat,India from November 2017 to July 2019. Clinical outcomeassessed with Nurick scale of Myelopathy, Odom`s criteria forfunctional outcome and Visual Analogue Scale (VAS) for bothneck and arm pain. Operative complications were reported.Results: Total 36 cases were operated, 22 male (61.1%), 14female (38.9%), Age range was 30-76 years, 26 were singlelevel (72.2%), 8 were double level (22.2%), 2 were triple level(5.6%). Total 52 levels were operated. At the 18 months offollow-up, there was significant post-operative improvement ofNurick scale, VAS scale. According to Odom`s criteria 28/36patients were graded excellent-good.Conclusion: Anterior cervical discectomy and fusion withtitanium cage is an effective treatment for cervical discprolapse with satisfactory clinical outcome.
ABSTRACT
Introduction: Ventriculo-peritoneal shunt is routinelyperformed in neurosurgery especially in PediatricNeurosurgery. This study is a retrospective study to analyzethe complications occurring in patients of congenitalhydrocephalous who got operated at our centre.Materials and Methods: This study was done by analyzing 90cases referred to Department of Neuro Surgery, SSG CivilHospital, Baroda Medical College, Baroda, Gujarat, India fromNovember 2017 to April 2019. A minimum follow-up of 6months was done. Hydrocephalus associated with Spaceoccupying lesions, Intracranial hemorrhages, Neural tubedefects were excluded.Results: Total number of cases operated during this periodwas 90. 59(65.6%) were male, 31 (34.4%) were female.Complications were observed in 30/90 (33.3%) cases. Out of30 cases shunt block 16 cases (53.4%) was a major cause ofcomplication followed by Infection i.e. 6 cases (20%). Therewas no mortality observed in our cases.Conclusion: This procedure has a high complication rate butnow due to again popular endoscopic third ventriculostomywhich can be safely used in certain cases above a set age, hasgiven us an option, but still in age group of 0-6 monthsventriculo-peritoneal shunt is still a more popular andprocedure of choice till any further alternative is available.