Yu Qunfei, Ren Ying, Wang Zhan, Xu Guoping, Ma Yaojing, Ye Feifei
Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Clin Spine Surg. 2025 Apr 1;38(3):E181-E185. doi: 10.1097/BSD.0000000000001696. Epub 2024 Sep 10.
Retrospective study.
This study aims to investigate the effect of cervical brace utilization on postoperative axial symptoms in patients undergoing single-segment anterior cervical discectomy and fusion (ACDF).
Anterior cervical discectomy and fusion (ACDF) is the most commonly used surgical method in the treatment of cervical spondylosis. For patients with single-segment ACDF. The absence of a neck brace after surgery is safe and does not affect the outcome of surgery. However, the effect on the incidence of AS is unclear.
Patients who underwent anterior cervical single-segment ACDF between May 2020 and August 2021 were retrospectively analyzed. Participants were divided into brace group and nonbraced groups. The incidence of axial symptoms, cervical mobility, and postoperative quality of life were then compared between the 2 groups.
A total of 121 patients were included in this study: 62 in the brace group and 59 in the nonbraced group. There were no statistically significant variations observed in the overall demographic characteristics, including age, sex, body mass index, smoking status, and disease duration. The study findings showed that there was a significant decrease in the occurrence of axial symptoms among patients in nonbraced group, in addition to a considerable increase in cervical mobility 1 month following the surgery.
The omission of a cervical brace following surgery in patients undergoing single-segment ACDF reduced the incidence of early postoperative axial symptoms, improved their overall quality of life, and facilitated the recovery of postoperative cervical mobility.
回顾性研究。
本研究旨在探讨颈椎支具应用对单节段颈椎前路椎间盘切除融合术（ACDF）患者术后轴性症状的影响。
颈椎前路椎间盘切除融合术（ACDF）是治疗颈椎病最常用的手术方法。对于单节段ACDF患者，术后不使用颈托是安全的，且不影响手术效果。然而，其对轴性症状发生率的影响尚不清楚。
回顾性分析2020年5月至2021年8月期间接受单节段颈椎前路ACDF手术的患者。参与者分为支具组和非支具组。然后比较两组患者的轴性症状发生率、颈椎活动度和术后生活质量。
本研究共纳入121例患者：支具组62例，非支具组59例。在包括年龄、性别、体重指数、吸烟状况和病程等总体人口统计学特征方面，未观察到统计学上的显著差异。研究结果表明，非支具组患者的轴性症状发生率显著降低，此外，术后1个月颈椎活动度也有相当大的增加。
单节段ACDF患者术后不使用颈椎支具可降低术后早期轴性症状的发生率，改善其总体生活质量，并促进术后颈椎活动度的恢复。
