Clinical Outcomes After Four-Level Anterior Cervical Discectomy and Fusion.

Authors

Tyler M Kreitz, Thomas Jefferson University, Philadelphia, PAFollow
Douglas A Hollern, SUNY Downstate Medical Center, Brooklyn, NY
Eric M. Padegimas, Thomas Jefferson University, Philadelphia, PAFollow
Gregory D. Schroeder, The Rothman Institute at Thomas Jefferson University, Philadelphia, PAFollow
Christopher K Kepler, Rothman Institute, Department of Orthopaedic Surgery, Thomas Jefferson UniversityFollow
Alexander Vaccaro, MD, PhD, Thomas Jefferson University, Philadelphia, PAFollow
Alan S Hilibrand, Thomas Jefferson University Hospital, Rothman Institute, Philadelphia, PAFollow

Document Type

Article

Publication Date

12-1-2018

Comments

This article has been peer reviewed. It was published in: Global Spine Journal.

Volume 8, Issue 8, 1 December 2018, Pages 776-783.

The published version is available at DOI: 10.1177/2192568218770763

Copyright © The Author(s) 2018

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

Abstract

Study Design: Retrospective cohort study.

Objectives: Anterior cervical discectomy and fusion (ACDF) demonstrates reliable improvement in neurologic symptoms associated with anterior compression of the cervical spine. There is a paucity of data on outcomes following 4-level ACDFs. The purpose of this study was to evaluate clinical outcomes for patients undergoing 4-level ACDF.

Methods: All 4-level ACDFs with at least 1-year clinical follow-up were identified. Clinical outcomes, including fusion rates, neurologic outcomes, and reoperation rates were determined.

Results: Retrospective review of our institutional database revealed 25 patients who underwent 4-level ACDF with at least 1-year clinical follow-up. Average age was 57.5 years (range 38.2-75.0 years); 14 (56%) were male, and average body mass index was 30.2 kg/m

Conclusions: Review of our institution's experience demonstrated a low rate of revision cervical surgery for any reason of 8% at mean 19 months follow-up, and neurological examinations consistently improved, despite a high rate of radiographic nonunion (31%).

Recommended Citation

Kreitz, Tyler M; Hollern, Douglas A; Padegimas, Eric M.; Schroeder, Gregory D.; Kepler, Christopher K; Vaccaro, MD, PhD, Alexander; and Hilibrand, Alan S, "Clinical Outcomes After Four-Level Anterior Cervical Discectomy and Fusion." (2018). Rothman Institute Faculty Papers. Paper 111.
https://jdc.jefferson.edu/rothman_institute/111

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.