The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological Analysis
Background: ACDF has become one of the established procedures for the surgical treatment of symptomatic cervical spondylosis, showing excellent clinical results and effective improvements in neural functions and neck pain relief. The main purpose of ACDF is neural decompression, and it is considered...
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| Format: | Article |
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MDPI AG
2023-01-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/13/1/101 |
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| author | Rosario Maugeri Lara Brunasso Andrea Sciortino Alba Scerrati Felice Buscemi Luigi Basile Giuseppe Roberto Giammalva Roberta Costanzo Francesco Bencivinni Eleonora Bruno Domenica Matranga Laura Maniscalco Francesco Gioia Silvana Tumbiolo Domenico Gerardo Iacopino |
| author_facet | Rosario Maugeri Lara Brunasso Andrea Sciortino Alba Scerrati Felice Buscemi Luigi Basile Giuseppe Roberto Giammalva Roberta Costanzo Francesco Bencivinni Eleonora Bruno Domenica Matranga Laura Maniscalco Francesco Gioia Silvana Tumbiolo Domenico Gerardo Iacopino |
| author_sort | Rosario Maugeri |
| collection | DOAJ |
| description | Background: ACDF has become one of the established procedures for the surgical treatment of symptomatic cervical spondylosis, showing excellent clinical results and effective improvements in neural functions and neck pain relief. The main purpose of ACDF is neural decompression, and it is considered by some authors as an indirect result of the intervertebral distraction and cage insertion and the consequent restoration of the disc space and foramen height. Methods: Radiological data from 28 patients who underwent single-level ACDF were retrospectively collected and evaluated. For neural foramen evaluation, antero-posterior (A-P) and cranio-caudal (C-C) diameters were manually calculated; for intervertebral disc height the anterior, centrum and posterior measurement were calculated. All measurements were performed at surgical and adjacent (above and below) segments. NRS, NDI and also the mJOA and Nurick scale were collected for clinical examination and complete evaluation of patients’ postoperative outcome. Results: The intervertebral disc height in all its measurements, in addition to the height (C-C diameter) of the foramen (both right and left) increase at the surgical segment when comparing pre and postop results (<i>p</i> < 0.001, and <i>p</i> = 0.033 and <i>p</i> = 0.001). NRS and NDI radiculopathy scores showed improved results from pre- to post-op evaluation (<i>p</i> < 0.001), and a negative statistical correlation with the improved disc height at the surgical level. Conclusions: The restoration of posterior disc height through cage insertion appears to be effective in increasing foraminal height in patients with symptomatic preoperative cervical foraminal stenosis. |
| first_indexed | 2024-03-09T13:23:24Z |
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| id | doaj.art-731d89ffb3314ec4aee22e43290c1ea2 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-09T13:23:24Z |
| publishDate | 2023-01-01 |
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| series | Brain Sciences |
| spelling | doaj.art-731d89ffb3314ec4aee22e43290c1ea22023-11-30T21:27:40ZengMDPI AGBrain Sciences2076-34252023-01-0113110110.3390/brainsci13010101The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological AnalysisRosario Maugeri0Lara Brunasso1Andrea Sciortino2Alba Scerrati3Felice Buscemi4Luigi Basile5Giuseppe Roberto Giammalva6Roberta Costanzo7Francesco Bencivinni8Eleonora Bruno9Domenica Matranga10Laura Maniscalco11Francesco Gioia12Silvana Tumbiolo13Domenico Gerardo Iacopino14Neurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyNeurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyNeurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyDepartment of Neurosurgery, Sant’Anna University Hospital of Ferrara, 44124 Ferrara, ItalyNeurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyNeurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyNeurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyNeurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyDepartment of Biomedicine, Neurosciences and Advanced Diagnostic, Unit of Radiology, University of Palermo, 90133 Palermo, ItalyDepartment of Biomedicine, Neurosciences and Advanced Diagnostic, Unit of Radiology, University of Palermo, 90133 Palermo, ItalyHealth Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90133 Palermo, ItalyHealth Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90133 Palermo, ItalyDepartment of Radiology, Villa Sofia—Cervello Hospital, 90146 Palermo, ItalyDepartment of Neurosurgery, Villa Sofia—Cervello Hospital, 90146 Palermo, ItalyNeurosurgical Clinic, Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neuroscience and Advanced Diagnostics, School of Medicine, University of Palermo, 90133 Palermo, ItalyBackground: ACDF has become one of the established procedures for the surgical treatment of symptomatic cervical spondylosis, showing excellent clinical results and effective improvements in neural functions and neck pain relief. The main purpose of ACDF is neural decompression, and it is considered by some authors as an indirect result of the intervertebral distraction and cage insertion and the consequent restoration of the disc space and foramen height. Methods: Radiological data from 28 patients who underwent single-level ACDF were retrospectively collected and evaluated. For neural foramen evaluation, antero-posterior (A-P) and cranio-caudal (C-C) diameters were manually calculated; for intervertebral disc height the anterior, centrum and posterior measurement were calculated. All measurements were performed at surgical and adjacent (above and below) segments. NRS, NDI and also the mJOA and Nurick scale were collected for clinical examination and complete evaluation of patients’ postoperative outcome. Results: The intervertebral disc height in all its measurements, in addition to the height (C-C diameter) of the foramen (both right and left) increase at the surgical segment when comparing pre and postop results (<i>p</i> < 0.001, and <i>p</i> = 0.033 and <i>p</i> = 0.001). NRS and NDI radiculopathy scores showed improved results from pre- to post-op evaluation (<i>p</i> < 0.001), and a negative statistical correlation with the improved disc height at the surgical level. Conclusions: The restoration of posterior disc height through cage insertion appears to be effective in increasing foraminal height in patients with symptomatic preoperative cervical foraminal stenosis.https://www.mdpi.com/2076-3425/13/1/101ACDFcervical foramenforamen heightcervical spondylosisforaminal stenosiscervical cage |
| spellingShingle | Rosario Maugeri Lara Brunasso Andrea Sciortino Alba Scerrati Felice Buscemi Luigi Basile Giuseppe Roberto Giammalva Roberta Costanzo Francesco Bencivinni Eleonora Bruno Domenica Matranga Laura Maniscalco Francesco Gioia Silvana Tumbiolo Domenico Gerardo Iacopino The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological Analysis Brain Sciences ACDF cervical foramen foramen height cervical spondylosis foraminal stenosis cervical cage |
| title | The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological Analysis |
| title_full | The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological Analysis |
| title_fullStr | The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological Analysis |
| title_full_unstemmed | The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological Analysis |
| title_short | The Impact of Single-Level ACDF on Neural Foramen and Disc Height of Surgical and Adjacent Cervical Segments: A Case-Series Radiological Analysis |
| title_sort | impact of single level acdf on neural foramen and disc height of surgical and adjacent cervical segments a case series radiological analysis |
| topic | ACDF cervical foramen foramen height cervical spondylosis foraminal stenosis cervical cage |
| url | https://www.mdpi.com/2076-3425/13/1/101 |
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