Comparing ACDF Outcomes by Cervical Spine Level: A Single Center Retrospective Study
Location
LSU Health Sciences Center - New Orleans
Event Website
https://www.medschool.lsuhsc.edu/genetics/2023_medical_student_research_poster_symposium.aspx
Presentation Date
23-10-2023 8:29 AM
Description
Introduction: Anterior cervical discectomy and fusion (ACDF) is one of the most common procedures utilized for treatment of cervical radiculopathy and myelopathy. However, minimal data is available comparing C3-C4 level of involvement in comparison to other cervical levels. Given higher level of cord involvement and complex anatomy at this level of the cervical spine, the authors hypothesize that the ACDF patients with involvement of the C3-4 level have higher rates of postoperative dysphagia and greater hospital length of stay. Materials/Methods: A retrospective chart review was conducted on all patients diagnosed with cervical myelopathy or radiculopathy due to degenerative disc disease and treated with an anterior cervical discectomy and fusion (ACDF) from January 2012 to September 2022 at a single academic center. Trauma patients, patients undergoing revision cervical approach or having undergone previous ACDF surgery, patients with ACDF involving C1-2, C2-3 or C7-T1 were excluded. Patients were delineated into those patients with C3-4 level inclusion within the ACDF construct versus those without C3-4 level involvement. Patients’ demographic and clinical characteristics and surgical outcomes including procedure time, length of hospital stay (hLOS), improvement in neurological symptoms, major and minor complications, and discharge disposition were collected from the patient’s medical records. Major and minor complications were defined according to Campbell et al1 . Data were analyzed using SAS version 9.4. Baseline patients’ characteristics and outcomes were compared between groups using the chi-square test for categorical variables and the Student’s t-test for continuous normally distributed variables. Results: Eight-hundred and sixty patients were included in the study (Table 1). Patients with C3- C4 involvement were older (58.4 vs. 53.6, p=
Recommended Citation
Daigle, Clifton J., "Comparing ACDF Outcomes by Cervical Spine Level: A Single Center Retrospective Study" (2023). Medical Student Research Poster Symposium. 32.
https://digitalscholar.lsuhsc.edu/sommrd/2023MSRD/Posters/32
Comparing ACDF Outcomes by Cervical Spine Level: A Single Center Retrospective Study
LSU Health Sciences Center - New Orleans
Introduction: Anterior cervical discectomy and fusion (ACDF) is one of the most common procedures utilized for treatment of cervical radiculopathy and myelopathy. However, minimal data is available comparing C3-C4 level of involvement in comparison to other cervical levels. Given higher level of cord involvement and complex anatomy at this level of the cervical spine, the authors hypothesize that the ACDF patients with involvement of the C3-4 level have higher rates of postoperative dysphagia and greater hospital length of stay. Materials/Methods: A retrospective chart review was conducted on all patients diagnosed with cervical myelopathy or radiculopathy due to degenerative disc disease and treated with an anterior cervical discectomy and fusion (ACDF) from January 2012 to September 2022 at a single academic center. Trauma patients, patients undergoing revision cervical approach or having undergone previous ACDF surgery, patients with ACDF involving C1-2, C2-3 or C7-T1 were excluded. Patients were delineated into those patients with C3-4 level inclusion within the ACDF construct versus those without C3-4 level involvement. Patients’ demographic and clinical characteristics and surgical outcomes including procedure time, length of hospital stay (hLOS), improvement in neurological symptoms, major and minor complications, and discharge disposition were collected from the patient’s medical records. Major and minor complications were defined according to Campbell et al1 . Data were analyzed using SAS version 9.4. Baseline patients’ characteristics and outcomes were compared between groups using the chi-square test for categorical variables and the Student’s t-test for continuous normally distributed variables. Results: Eight-hundred and sixty patients were included in the study (Table 1). Patients with C3- C4 involvement were older (58.4 vs. 53.6, p=
https://digitalscholar.lsuhsc.edu/sommrd/2023MSRD/Posters/32
Comments
Mentor: Dr. Amit Bhandutia LSUHSC, Department of Orthopedics; Children’s Hospital, UMC