Anterior cervical discectomy and fusion with Zero-P-Plate in the treatment of cervical disc prolapse
Journal of Clinical Orthopaedics | Vol 4 | Issue 2 | July-Dec 2019 | page:57-60 | Rajendraprasad R Butala, Shikhar D Singh, Sachin Y Kale, Prasad Chaudhari, Sanjay Dhar, Prakash Samant
Author: Rajendraprasad R Butala [1], Shikhar D Singh [1], Sachin Y Kale [1], Prasad Chaudhari [1], Sanjay Dhar [1] , Prakash Samant [1]
[1] Department of Orthopaedics, Dr. DY Patil Medical College, Navi Mumbai
Address of Correspondence
[1] Department of Orthopaedics, Dr. DY Patil Medical College, Navi Mumbai
Address of Correspondence
Dr. Shikhar D Singh,
Department of Orthopaedics, Dr. DY Patil Medical College
Sector 7, Nerul, Navi Mumbai, Maharashtra 400706
E-mail: drsinghshikhar@gmail.com
Abstract
Introduction: Anterior cervical discectomy and fusion (ACDF) is an effective treatment of intervertebral disc herniation. The zero-profile interbody fusion device, Zero-P was invented to reduce complications due to previously used anterior constructs. The present study investigates the outcome of surgical decompression and stabilization by anterior approach using Zero-P-Plate.
Methodology: We collected data of 22 patients of cervical disc prolapse with neurological deficits treated with ACDF using Zero-P implant. The patients were assessed pre-operatively and during follow up on outpatient basis at 2 weeks, 6 weeks, 12 weeks, 24 weeks and then on yearly basis for 2 years. The outcome was assessed based on Visual Analogue Scale (VAS) score, Nurick grading and Odom’s criteria and success of fusion.
Results: Radiculopathy was present in all patients pre-operatively. We observed that 77% of the patients had VAS score of 4 or higher pre-operatively, which reduced to 13% in the immediate post-operative period and 0% at the last follow up. Nurick grade 2 or higher was seen in 31% pre-operatively, a percentage which reduced to 0% in the post-operative period. Final clinical outcome using Odom’s criteria revealed excellent outcome in 87% of the patients and good outcome in 13%.
Conclusions: ACDF by Zero-P-Plate can be considered in treatment of patients with cervical disc prolapse with neurological deficit.
Keywords: Anterior cervical discectomy and fusion; Cervical disc disease; Intervertebral fusion device.
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How to Cite this article: Butala R R, Singh S D, Kale S T, Chaudhari P, Dhar S, Samant P. Anterior cervical discectomy and fusion with Zero-P-Plate in the treatment of cervical disc prolapse. Journal of Clinical Orthopaedics July-Dec 2019;4(2):57-60. |
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