158 Dexamethasoneʼs Effect in Multiple-Level Anterior Cervical Discectomy and Fusion

Neurosurgery ◽  
2013 ◽  
Vol 60 ◽  
pp. 172-173 ◽  
Author(s):  
Shiveindra Jeyamohan ◽  
Tyler James Kenning ◽  
Paul Feustel ◽  
Karen Petronis ◽  
Darryl J. Dirisio
2012 ◽  
Vol 2 (1) ◽  
pp. 1-9
Author(s):  
Ahmad Fouad ◽  
Wael Koptan ◽  
Yasser ElMiligui ◽  
Talaat ElHadidi ◽  
Mohammad El-Sharkawi

2020 ◽  
Vol 6 (3) ◽  
pp. 581-590
Author(s):  
Lawrence J. Oh ◽  
Sam Ong ◽  
Sherief Ghozy ◽  
Adam A. Dmytriw ◽  
Jeffrey Zuccato ◽  
...  

1975 ◽  
Vol 43 (4) ◽  
pp. 452-456 ◽  
Author(s):  
Hal L. Hankinson ◽  
Charles B. Wilson

✓ The authors report their experience using the operating microscope in 52 anterior cervical discectomies without fusion. They found long-term results highly satisfactory, even in difficult cases with multiple-level disease, and complications from bone grafting were obviated. They highly recommend this approach for radicular, nonradicular, or myelopathic symptoms.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
C S Ong ◽  
L Oh ◽  
S Ghozy ◽  
A Dmytriw ◽  
R Mobbs ◽  
...  

Abstract Aim To conduct a meta-analysis to assess dysphagia complicating single-level and multiple-level (≥2) anterior cervical discectomy and fusion (ACDF) surgery. Method Electronic searches were performed using four electronic databases from their inception to December 2017. Relevant studies reporting the rate of dysphagia as an endpoint for patients undergoing ACDF for degenerative disease, myelopathy, cervical canal stenosis or ossification of the posterior longitudinal ligament were identified according to prior inclusion and exclusion criteria. Statistical analysis was performed using a fixed effect model. P-scores were used to rank the levels of ACDF based on the rate of dysphagia. I2 was used to explore heterogeneity. Results Ten studies were identified and included in the systematic review and meta-analysis, with a total of 4,018 patients identified; 2,362 patients underwent single-level ACDF, while 1,656 underwent multiple level (≥2 ACDF). The mean age ranged from 49.45 to 57.77 years. Mean follow-up time ranged from 2 days to 27.3 months. Overall, meta-analysis demonstrated a statistically significant higher dysphagia rate for multiple-level ACDF (6.6%) than for single-level ACDF (4%) (P heterogeneity =0.151, OR = 1.42, 95% CI: 1.05–1.91, I2=32%). Conclusions Dysphagia is a relatively common complication in the early postoperative period following ACDF and may cause patients significant discomfort and distress. This meta-analysis demonstrates a higher rate of dysphagia with multiple-level ACDF than with single-level ACDF at a period of 12–24 months.


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