Alzahrani Basil A, Alsharm Faisal S, Salamatullah Hassan K, Sulimany Hani H, Kashab Mohammed A, Khan Muhammad A
Orthopedics, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU.
Orthopedics, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU, Jeddah, SAU.
Cureus. 2023 May 21;15(5):e39300. doi: 10.7759/cureus.39300. eCollection 2023 May.
Objectives This study aimed to evaluate the recurrence symptoms rate after anterior cervical discectomy and fusion (ACDF) for one year and seek the common cervical vertebral disk affected in a tertiary center in Saudi Arabia over the past five years. Methods This is a single-center, cross-sectional study conducted on patients followed in our center from January 2016 to December 2022. All patients who were older than 18 and underwent ACDF were included. Results Out of 77 patients, 43 (55.8%) have experienced a recurrence of symptoms after the ACDF operation. The highest rate of recurrent symptoms was neck pain 22 (28.6%), left upper limb numbness 20 (26%), and right upper limb numbness 16 (20.8%). It was found that shoulder pain recurred after one level of ACDF in six patients out of 10 (60%), and only one (10%) patient experienced shoulder pain after two-level ACDF. Conclusion ACDF has a high rate of recurrence of symptoms, and the most common type of ACDF was two levels. Most symptoms were neck pain and upper limb radicular pain. However, there is a lack of studies. We recommend conducting more studies on the secondary management of recurrent symptoms post-ACDF.
目的 本研究旨在评估颈椎前路椎间盘切除融合术（ACDF）术后一年的症状复发率，并找出沙特阿拉伯一家三级中心过去五年中受影响的常见颈椎间盘。方法 这是一项单中心横断面研究，对2016年1月至2022年12月在我们中心随访的患者进行。纳入所有年龄大于18岁且接受ACDF手术的患者。结果 在77例患者中，43例（55.8%）在ACDF手术后出现了症状复发。症状复发率最高的是颈部疼痛22例（28.6%）、左上肢麻木20例（26%）和右上肢麻木16例（20.8%）。发现在10例接受单节段ACDF手术的患者中有6例（60%）出现肩部疼痛复发，而在接受双节段ACDF手术的患者中只有1例（10%）出现肩部疼痛。结论 ACDF术后症状复发率较高，最常见的ACDF类型是双节段。大多数症状是颈部疼痛和上肢根性疼痛。然而，相关研究较少。我们建议对ACDF术后复发症状的二级管理进行更多研究。
