A Comparison of Anterior Cervical Discectomy and Fusion versus Hybrid Surgery (Fusion Combined with Artificial Disc Replacement) in Multiple Level Cervical Disease
Y.J. Lee
Busan Wooridul Spine Hospital, Neurosurgery, Busan, Korea, Republic of
EANS Academy. Lee Y. 10/21/18; 225646; EP2011
Young Jae Lee
Young Jae Lee
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Objective : The purpose of this study is to evaluate the efficacy and merit of multiple level hybrid surgery (HS), which combines fusion, and cervical artificial disc replacement (C-ADR), compared to multiple level fusion in patient with cervical disease

Methods : Patients in the anterior cervical discectomy and fusion (ACDF) group (n=13) underwent multiple level fusion (2 level=12, 3 level=1), and the HS group (n=13) underwent combined surgery with fusion and CDR. (2 level=11, 3 level=2)
Clinical outcomes were evaluated using the visual analogue scale for the arm, the neck disability index (NDI), Odom criteria and postoperative complications. The cervical range of motion (ROM), fusion rate
and adjacent segments degeneration were assessed with radiographs.

Results : Excellent improvements in arm pain relief, and recovery from motor weakness were observed in ACDF and HS group. The NDI in the HS group showed better improvement 6 months after surgery than that of the ACDF group. The incidence of complication and radiological change in ACDF group is higher compared with the HS group.
Cervical ROM was significantly better in HS group than ACDF group.

Conclusion : The outcome of Hybrid surgery is better than ACDF only group in multiple level operation in cervical ROM, incidence of postoperative complications and adjacent segment degeneration.
Hybrid surgery is better option in multiple level cervical disease.
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