Bibliographic Details
| Title: |
Clinical and Radiological Changes at the Adjacent Segments Following Cervical Spine Surgery: A Retrospective Study. |
| Authors: |
Goswami, Prakash, Chandran, Raj S., Haneefa, Sharmad Mohammed, Sathyababu, Arun, Prabhakar, Rajmohan Bhanu |
| Source: |
Iranian Journal of Neurosurgery; 2023, Vol. 9, p1-0, 10p |
| Subject Terms: |
SPINAL surgery, CERVICAL vertebrae, RETROSPECTIVE studies, RADICULOPATHY, ARTHRODESIS, BONE spurs, SAMPLE size (Statistics) |
| Abstract (English): |
Background and Aim: Adjacent segment disease (ASD), radiological and clinical, is observed in many of the patients who undergo cervical inter-body fusion with/without graft, and with/without plating. This study aims to evaluate the proportion of ASD among patients who underwent cervical spine fusion surgery, to study the severity of degenerative radiographic findings at adjacent levels, and to determine sites and patterns of ASD. Methods and Materials/Patients: A descriptive study was performed on patients who underwent a previous cervical arthrodesis procedure in the last 2-5 years and continued follow-up as neurosurgery outpatients. A total of 59 patients who qualified for the inclusion criteria were included in the study. Results: Spine fixation was commonly performed at a single level mostly with sample size (54.2%, n=32) then at two levels (42.4%, n=25) and three levels (3.4%, n=2). Adjacent segment degeneration was present in the spine fixation level subgroup at a single level of 9 cases (28.12%), two levels of 9 cases (36%), and three-level fixations of 2 cases (100%). Six patients (10.2%) out of 59 patients developed radiculopathy. Among twenty-two cases (37.3%) with new changes at adjacent levels, reduced disc height was the most common one (18.6%, n=11). Anterior and posterior osteophytes with reduced disc height were found in 2 cases. Therefore, actual new changes were present in 20 cases only. The most common level of C4-C5 was observed for the development of ASD (13.6%, n=8). ASD developed at cranial to fusion in 13 cases (22%), caudal to fusion in 5 cases (8.5%), and at both levels in 2 patients. Conclusion: Adjacent segment disease was observed in a significant number of patients who underwent cervical spine surgery as evident from the results but only 6 out of 20 cases with radiological evidence of ASD were symptomatic. Changes were observed commonly at the C4/C5 level. [ABSTRACT FROM AUTHOR] |
| Abstract (Arabic): |
المقال يركز على دراسة استعادية تقيم مرض القطاعات المجاورة (ASD) بعد جراحة دمج العمود الفقري العنقي. أجريت الدراسة في الكلية الطبية الحكومية في تريفاندروم، الهند، حيث تم تحليل بيانات 59 مريضًا تتراوح أعمارهم بين 18 و80 عامًا والذين خضعوا لعمليات جراحية مختلفة في العمود الفقري العنقي قبل 2-5 سنوات. أظهرت النتائج أن 33.9% من المرضى تطورت لديهم تغييرات شعاعية تتماشى مع مرض القطاعات المجاورة، حيث أظهر 10.2% منهم أعراض مرض القطاعات المجاورة، بشكل رئيسي في المستويات القريبة من موقع الدمج. خلصت الدراسة إلى أن التغيرات التنكسية، وخاصة انخفاض ارتفاع القرص، كانت مرتبطة بشكل كبير بتطور مرض القطاعات المجاورة، مما يبرز الحاجة إلى المراقبة المستمرة للمرضى بعد الجراحة. [Extracted from the article] |
|
Copyright of Iranian Journal of Neurosurgery is the property of Negah Institute for Social Research & Scientific Communication and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Complementary Index |
