武警医学
  /td>
Apr. 2, 2025  Home | About Journal | Editorial Board | Instruction | Contacts Us | Chinese
Med. J. Chin. Peop. Armed Poli. Forc.  2024, Vol. 35 Issue (12): 1018-1023    DOI:
Current Issue| Next Issue| Archive| Adv Search |
Correlation of different intervertebral heights during anterior cervical discectomy and fusion with reoperation for adjacent segment disease
WANG Changfeng, CHEN Wei, YANG Le, GU Wen
Department of Orthopedics, Jiangsu Provincial Corps Hospital of Chinese People’s Armed Police Force, Yangzhou 225003, China

Download: PDF (2669 KB)   HTML (1 KB) 
Export: BibTeX | EndNote (RIS)      
Abstract  Objective To investigate the correlation between intervertebral height (IH) during anterior discectomy and fusion (ACDF) for cervical disc herniation and reoperation after adjacent segment disease (ASD). Methods A total of 68 cases of cervical disc herniation treated by operation in Jiangsu Provincial Corps Hospital of Chinese People’s Armed Police Force from January 2005 to November 2020 were selected. IH was measured 3 days after ACDF operation and divided into 4 groups according to the value. Preoperative neutral IH was, 130%-140% (group A), 141%-150% (group B), 151%-160% (group C), and 161%-170% (group D). Follow-up observation was conducted to observe three aspects, the relationship between IH and Cobb improvement angle of operative segment (Cn), C2-7Cobb improvement angle, thoracic inlet angle (TIA) and T1 slope (T1S), the IH changes in the upper and lower adjacent segments after ASD, and the effect of different IH on reoperation after ASD. Results The rate of reoperation after ASD in group B was the lowest (7%). Compared with group B, IH in adjacent segments of groups A, C and D significantly decreased (P<0.05), and the difference was statistically significant (P<0.05). Correlation analysis showed that intervertebral height increment (ΔIH) was weakly correlated with the Cobb improvement angle of operative segment (Cn) (r=0.426, P=0.028), but not significantly correlated with the change of C2-7Cobb, TIA or T1S. In group C and group D, the number of reoperation for adjacent segment disease accounted for 71.4% of the total number of reoperations. Conclusions Single gap IH greater than 150% before operation is a high risk factor for the reoperation for ASD. The 140%~150% group is characterized by the least ASD, which is a relatively ideal IH.
Key wordscervical vertebra      anterior cervical discectomy and fusion      single gap      intervertebral height      adjacent segment degeneration     
Received: 14 October 2024     
ZTFLH: R683.2  
Service
E-mail this article
Add to my bookshelf
Add to citation manager
E-mail Alert
RSS
Articles by authors
WANG Changfeng
CHEN Wei
YANG Le
GU Wen
Cite this article:   
WANG Changfeng,CHEN Wei,YANG Le等. Correlation of different intervertebral heights during anterior cervical discectomy and fusion with reoperation for adjacent segment disease[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(12): 1018-1023.
URL:  
https://journal08.magtechjournal.com/Jwk_wjyx/EN/     OR     https://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2024/V35/I12/1018
Copyright 2012  © Med. J. Chin. Peop. Armed Poli. Forc.
Support by Beijing Magtech Co.ltd support@magtech.com.cn