Potpourri – Recent and relevant literature in 2019

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

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


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.


1. Smith GW, Robinson RA. The Treatment of Certain Cervical-Spine Disorders by Anterior Removal of the Intervertebral Disc and Interbody Fusion. The Journal of Bone & Joint Surgery. 1958;40-A(3):607–24.
2. Kaiser MG, Haid Jr RW, Subach BR, Barnes B, Rodts Jr GE. Anterior cervical plating enhances arthrodesis after discectomy and fusion with cortical allograft. Neurosurgery. 2002 Feb 1;50(2):229-38.
3. Nurick S. The natural history and the results of surgical treatment of the spinal cord disorder associated with cervical spondylosis. Brain. 1972 Jan 1;95(1):101-8.
4. Odom GL, Finney W, Woodhall B : Cervical disk lesions. J Am Med As-soc 166 : 23-28, 1958
5. Scholz M, Schnake KJ, Pingel A, Hoffmann R, Kandziora F: A new zero-pro le implant for stand-alone anterior cervical interbody fusion. Clin Orthop Relat Res 469:666–673, 2011
6. Njoku I, Alimi M, Leng LZ, Shin BJ, James AR, Bhangoo S, Tsiouris AJ, Härtl R. Anterior cervical discectomy and fusion with a zero-profile integrated plate and spacer device: a clinical and radiological study. Journal of Neurosurgery: Spine. 2014 Oct 1;21(4):529-37.
7. Alimi M, Njoku I, Hofstetter CP, Tsiouris AJ, Kesavabhotla K, Boockvar J, Navarro-Ramirez R, Härtl R. Anterior cervical discectomy and fusion (ACDF): comparison between zero profile implants and anterior cervical plate and spacer. Cureus. 2016 Apr;8(4).
8. Duan Y, Yang Y, Wang Y, Liu H, Hong Y, Gong Q, Song Y. Comparison of anterior cervical discectomy and fusion with the zero-profile device versus plate and cage in treating cervical degenerative disc disease: a meta- analysis. J Clin Neurosci. 2016;33:11–18.
9. Lee MJ, Bazaz R, Furey CG, Yoo J. Influence of anterior cervical plate design on Dysphagia: a 2-year prospective longitudinal follow-up study. J Spinal Disord Tech. 2005;18(5):406–9.

How to Cite this article: Deogaonkar K, Menon A, Zaveri G. Surgical Site Infections in Orthopaedics: Epidemiology & Microbiology. Journal of Clinical Orthopaedics July-Dec 2019;4(2):7-11.

(Abstract    Full Text HTML)   (Download PDF)