Haghnegahdar Ali, Sedighi Mahsa
Department of Neurosurgery, Neurospine Section, Chamran Hospital, Shiraz Medical College, Shiraz University of Medical Sciences, Shiraz 71937-11351, Iran.
Neurosci J. 2016;2016:4654109. doi: 10.1155/2016/4654109. Epub 2016 Aug 18.
Background and Aim. First-line treatment strategy for managing cervical disc herniation is conservative measures. In some cases, surgery is indicated either due to signs/symptoms of severe/progressive neurological deficits, or because of persistence of radicular pain despite 12 weeks of conservative treatment. Success for treatment of cervical disc herniation using ACDF has been successfully reported in the literature. We aim to determine the outcome of ACDF in treatment of cervical disc herniation among Iranians. Methods and Materials/Patients. In a retrospective cohort study, we evaluated 68 patients who had undergone ACDF for cervical disc herniation from March 2006 to March 2011. Outcome tools were as follows: (1) study-designed questionnaire that addressed residual and/or new complaints and subjective satisfaction with the operation; (2) recent (one week prior to the interview) postoperative VAS for neck and upper extremity radicular pain; (3) Japanese Orthopaedic Association Myelopathy Evaluation Questionnaire (JOACMEQ) (standard Persian version); and (4) follow-up cervical Magnetic Resonance Imaging (MRI) and lateral X-ray. Results. With mean follow-up time of 52.93 (months) ± 31.89 SD (range: 13-131 months), we had success rates with regard to ΔVAS for neck and radicular pain of 88.2% and 89.7%, respectively. Except QOL functional score of JOAMEQ, 100% success rate for the other 4 functional scores of JOAMEQ was achieved. Conclusion. ACDF is a successful surgical technique for the management of cervical disc herniation among Iranian population.
背景与目的。颈椎间盘突出症的一线治疗策略是保守治疗。在某些情况下，由于严重/进行性神经功能缺损的体征/症状，或尽管经过12周的保守治疗仍存在神经根性疼痛，需进行手术治疗。文献中已成功报道了使用前路颈椎间盘切除融合术（ACDF）治疗颈椎间盘突出症的疗效。我们旨在确定ACDF治疗伊朗人颈椎间盘突出症的疗效。方法与材料/患者。在一项回顾性队列研究中，我们评估了2006年3月至2011年3月期间因颈椎间盘突出症接受ACDF手术的68例患者。疗效评估工具如下：（1）自行设计的问卷，涉及残留和/或新出现的症状以及对手术的主观满意度；（2）近期（访谈前一周）术后颈部和上肢神经根性疼痛的视觉模拟评分（VAS）；（3）日本骨科协会脊髓病评估问卷（JOACMEQ）（标准波斯语版本）；（4）随访颈椎磁共振成像（MRI）和颈椎侧位X线片。结果。平均随访时间为52.93（月）±31.89标准差（范围：13 - 131个月），颈部和神经根性疼痛的VAS改善成功率分别为88.2%和89.7%。除JOAMEQ的生活质量功能评分外，JOAMEQ的其他4项功能评分成功率均达到100%。结论。ACDF是治疗伊朗人群颈椎间盘突出症的一种成功的手术技术。
