Long-Term Results of Anterior Cervical Discectomy in Relieving Neck Pain

Abstract

This study aimed to assess long-term outcomes of anterior cervical discectomy related to relieving Neck Pain were. Anterior cervical discectomy and fusion is a type of surgery that is performed to treat disc problems in the cervical region. In this study, we collected 117 patients who underwent anterior cervical discectomy were included in this study. The surgical data was segregated into two groups: the initial group of 60 patients underwent cervical intervertebral fusion, whereas the second group of 57 patients received the Cloward procedure. The study subjected patients to an extensive evaluation of pain severity and neck disability prior to and after surgery. The study was carried out over three distinct timeframes: 6 months, one year, and six years post-surgery. Pain and disability levels recorded in the neck, back, and head regions were measured after the surge via the Visual Analogue Scale (VAS). The clinical findings indicated a higher incidence of neck pain in men, with 67 male patients versus 50 female patients. The demographic results obtained revealed a fusion rate of 72.65% among the subjects, with a non-fusion rate of 27.35%. Our study evaluated pain scores and neck disability in patients who underwent cervical intervertebral fusion surgery. We found a significant improvement in neck pain scores post-surgery. Prior to the procedure, patients reported a pain score of 82, which reduced to 30 after six months, 41 after one year, and 20 after six years. The typical length of hospital stay ranged between two to three days, and all patients were monitored for two years following the surgery. Postoperative complications were observed, with the cervical intervertebral fusion group reporting complications in 12 patients and the Cloward procedure group in 16 patients. Finally, we conclude. This study demonstrated considerable enhancements in pain and disability rates in cervical intervertebral fusion patients after long-term surgery compared to those who underwent the Cloward procedure at the two-year follow-up

Keywords

cervical intervertebral fusion; Cloward procedure; Neck pain; and Neck disability