|Co-Author(s):||Papanikolaou P.G., Petsanas D., Kyrgiannis K., Atzemi-Moldow|
|N, Hatzidakis G.I., Georgopoulos Ch.E.|
Background: We present a long series of patients who underwent uni- or multilevel cage-assisted cervical microdiscectomy without plate fixation with very good results.
Material and methods: During a 10-years period (1994-2003) 219 patients suffering from cervical degenerative disc disease underwent anterior cervical microdiscectomy and titanium cage-augmented fusion without plate fixation. They were 92 men and 127 women, who ranged from 24 to 79 years of age (mean 54.7 years). In 74 patients (34%) the procedure was at one level, in 101 (46%) at 2 levels, in 39 (18%) at 3 levels and in 5 (2%) at 4 levels. The cervical degenerative disc disease was confirmed by radiography and magnetic resonance imaging after a clinical presentation of radiculopathy and/or myelopathy.
Results: There were no serious complications. Post-op hospitalization time was 1 day for 172 patients (78.5%). All patients were submitted to radiography the next day after surgery. Dynamic flexion-extension radiography was performed at 1 year, 3 years and 5 years post-op. Follow-up time has been 5 years for 43 patients (19.6%), 3 years for 81 patients (37%) and 1 year for the rest 95 (43.4%). Clinical and radiographic outcome at follow-up was very good, with good stability of cage fusion.
Conclusion: Titanium-cage assisted anterior cervical microdiscectomy and fusion provides long term good results and stabilization. There is no need for plate fixation.