Article ; Online: The influence of anterior cervical discectomy and fusion surgery on cervical muscles and the correlation between related muscle changes and surgical efficacy.
Journal of orthopaedic surgery and research
2024 Volume 19, Issue 1, Page(s) 187
Abstract: Background: Anterior cervical discectomy and fusion surgery (ACDF) is a common technique in treating degenerative cervical spondylosis. This study is to evaluate the changes of cervical muscles after ACDF and analyze the correlation between related ... ...
Abstract | Background: Anterior cervical discectomy and fusion surgery (ACDF) is a common technique in treating degenerative cervical spondylosis. This study is to evaluate the changes of cervical muscles after ACDF and analyze the correlation between related muscle changes and clinical efficacy. Methods: Sixty-five postoperative patients (single-level ACDF) with cervical spondylotic myelopathy from January 2013 to December 2022 were analyzed. The measured parameters include: the axial section of longus colli cross-sectional area (AxCSA), the volume of cervical longus, the ratio of long and short diameter line (RLS), the cervical extensor cross-sectional area (CESA), the vertebral body area (VBA), and the CESA/VBA. The visual analog scale (VAS), modified Japanese Orthopedic Association score (mJOA), and neck disability index (NDI) were evaluated. The changes in muscle morphology were analyzed, and the correlation analysis was conducted between morphological changes and function scores. Results: The postoperative AxCSA of surgical segment (3rd month, 12th month, and the last follow-up) was decreased compared to preoperative (141.62 ± 19.78), and the differences were significant (P < 0.05). The corresponding data reduced to (119.42 ± 20.08) mm Conclusion: The volume of cervical longus decreased and its morphology changed after ACDF surgery. The mainly affected muscle was the cervical longus closing to the surgical segment. Negative correlation was found between the postoperative volume of cervical longus and function scores (VAS and NDI). |
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MeSH term(s) | Humans ; Spinal Fusion/methods ; Retrospective Studies ; Diskectomy/methods ; Neck/surgery ; Treatment Outcome ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/surgery ; Spondylosis/diagnostic imaging ; Spondylosis/surgery ; Muscles |
Language | English |
Publishing date | 2024-03-16 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2252548-8 |
ISSN | 1749-799X ; 1749-799X |
ISSN (online) | 1749-799X |
ISSN | 1749-799X |
DOI | 10.1186/s13018-024-04605-2 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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