The surgical outcomes of patients with cervical spondylosis causing nerve compression treated with Anterior Cervical Discectomy and Fusion (ACDF) at King Narai Hospital.
Keywords:
Cervical spondylotic myelopathy, ACDF, LaminoplastyAbstract
This study was retrospective study aimed to compare the surgical outcomes of Anterior Cervical Discectomy and Fusion (ACDF) and Laminoplasty in the treatment of cervical spondylotic myelopathy. This was a involving 220 inpatients diagnosed with cervical spondylotic myelopathy who underwent surgery in the Orthopedic Surgery Department at Phra Narai Maharat Hospital between October 1, 2018, and September 30, 2023. Data collected included demographic information, clinical data, and treatment outcomes. Descriptive statistics were used for data analysis. Group comparisons were conducted using Chi-square test, Fisher’s exact test, and independent t-test for continuous variables.
Results: Among the 220 patients, 100 underwent ACDF, with 52% being male and an average age of 56.67 years. The mean BMI was 24.38 kg/m², with an average symptom duration of 11.49 days. The most affected level was C4-C5 (48%). In the Laminoplasty group (120 patients), 56.67% were male, with an average age of 58.34 years. The mean BMI was 25.23 kg/m², and average symptom duration was 10.57 days. The C4-C5 level was also most commonly affected (43.33%). No statistically significant differences were found between the two groups in baseline characteristics (p<0.05). Surgical outcomes showed no significant differences between ACDF and Laminoplasty in terms of preoperative JOA score, postoperative JOA score at 6 months, percentage of score improvement, operative time, or complications. However, there were statistically significant differences in blood loss, length of hospital stay, and cost (p<0.05).
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