Early Clinical Outcome of Anterior Cervical Discectomy and Fusion with Titanium Cages: Our Experience with 36 Cases

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.