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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2001 April;52(2):87-92
Anterior cervical discectomy with and without interbody bone fusion. A follow-up of 77 patients
Turtas S., Sias W., Uda M., Zirattu G.
Background. This study retrospectively revie-wed the long-term outcomes of 77 patients treated for cervical mielopathy and/or radiculopathy with either simple anterior discectomy or anterior discectomy and fusion.
Methods. Forty patients underwent simple discectomy and thirthy seven discectomy plus fusion. The patients, reviewed after a follow-up varying between 1 and 15 years, were submitted to a radiographic cervical study. The clinical outcomes were quantitatively evaluated according to subjective and objective criteria.
Results. Whereas the incidence of a complete bony union was greater in those patients operated by discectomy and fusion, patients without fusion did better on a subjective point of view. Moreover, outcomes were significantly better in radicular cases than in myelopathic ones and in monosegmental disease as opposed to involvement of two or more levels.
Conclusions. According to these results, satisfactory outcomes can be achieved by performing simple discectomy to treat a unique cervical discopathy when possibly accompanied by a radiculopathic syndrome.