Al Eissa Sami, Konbaz Faisal, Aldeghaither Sarah, Annaim Monerah, Aljehani Rayed, Alhelal Fahad, Abaalkhail Majed, Alhandi Ali A
Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.
Orthopaedics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Cureus. 2020 Apr 12;12(4):e7643. doi: 10.7759/cureus.7643.
Background Anterior cervical discectomy and fusion (ACDF) is a commonly used procedure. However, few studies reported post-operative complications. This study looks into the prevalence of possible complications and the mortality rate in the first 30 days postoperatively. Methods A retrospective review of patients who underwent ACDF for degenerative disc disease from 2008-2017, in a single center in Riyadh, Saudi Arabia was performed. Patient demographic data, comorbidities, operative notes, immediate and delayed complications were all collected, with a minimum of 30 days follow-up. Results Out of 434 medical charts reviewed, 163 met the inclusion criteria. Mean population age was 52 ± 11 years. Elective cases comprised 90% of sample and most patients had one or two levels operated on, 95% had ACDF and only 5% had corpectomy. The drain was left in 69% of patients and planned intensive care admission was done for 3%. Instrumentation and graft was used, with 92% needing a cage plus plate. Intraoperative complications were minimal. Mean hospital stay was 12.5 ±18 days. Majority of population had no complications in a 30 days period (98.2%). Only one case underwent revision surgery. Conclusions While ACDF is considered a safe procedure, postoperative complications may have long-term implications. This study showed minimal complications in the immediate postoperative period, but due to the limited sample size, a study with larger population is needed to further confirm the results.
背景 颈椎前路椎间盘切除融合术（ACDF）是一种常用的手术。然而，很少有研究报道术后并发症。本研究调查了术后30天内可能出现的并发症的发生率和死亡率。 方法 对2008年至2017年在沙特阿拉伯利雅得的一个单一中心因退行性椎间盘疾病接受ACDF手术的患者进行回顾性研究。收集患者的人口统计学数据、合并症、手术记录、即刻和延迟并发症，随访时间至少30天。 结果 在审查的434份病历中，163份符合纳入标准。平均人群年龄为52±11岁。择期病例占样本的90%，大多数患者接受了一或两个节段的手术，95%的患者接受了ACDF，只有5%的患者接受了椎体次全切除术。69%的患者留置了引流管，3%的患者计划入住重症监护病房。使用了内固定和植骨，92%的患者需要椎间融合器加钢板。术中并发症极少。平均住院时间为12.5±18天。大多数患者在30天内无并发症（98.2%）。只有1例患者接受了翻修手术。 结论 虽然ACDF被认为是一种安全的手术，但术后并发症可能有长期影响。本研究显示术后即刻并发症极少，但由于样本量有限，需要进行更大规模人群的研究以进一步证实结果。
