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Research ArticleArticles

Restoration of Cervical Alignment is Associated with Improved Clinical Outcome after One and Two Level Anterior Cervical Discectomy and Fusion

Xiaobang Hu, Donna D. Ohnmeiss, Jack E. Zigler, Richard D. Guyer and Isador H. Lieberman
International Journal of Spine Surgery January 2015, 9 61; DOI: https://doi.org/10.14444/2061
Xiaobang Hu
1Scoliosis and Spine Tumor Program, Texas Back Institute, Texas Health Presbyterian Hospital Plano, Plano, TX
MD, PhD
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Donna D. Ohnmeiss
2Texas Back Institute Research Foundation, Plano, TX
Dr med
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Jack E. Zigler
3Texas Back Institute, Plano, TX
MD
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Richard D. Guyer
3Texas Back Institute, Plano, TX
MD
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Isador H. Lieberman
1Scoliosis and Spine Tumor Program, Texas Back Institute, Texas Health Presbyterian Hospital Plano, Plano, TX
MD, FRCSC, MBA
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Article Figures & Data

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    Fig. 1

    Neck pain and arm pain VAS score improvement in the three groups.

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    Fig. 2

    NDI score improvement in the three groups (*: p<0.05).

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    Table 1

    Primary diagnosis of the patients.

    Primary diagnosisMaintained Group, n (%)Restored Group, n (%)Kyphotic Group, n (%)
    Disc herniation24 (38%)6 (35%)14 (61%)
    Stenosis23 (36%)8 (47%)6 (26%)
    Spondylosis/Spondylolisthesis11 (17%)2 (12%)2 (9%)
    Degenerative disc disease6 (9%)1 (6%)
    Kyphosis1 (4%)
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    Table 2

    Overview of patients in the three groups.

    Maintained GroupRestored GroupKyphotic Groupp value
    Gender (female, male)33, 317, 1012, 11>0.05
    Mean age (years)545548<0.05
    Mean BMI (kg/cm2)292829>0.05
    One level surgery, n (%)29 (45%)8 (47%)9 (39%)>0.05
    Two levels surgery, n (%)35 (55%)9 (53%)14 (61%)>0.05
    Mean follow up time (months)121212>0.05
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    Table 3

    Preoperative and postoperative neck pain VAS scores and the net change in these three groups.

    Neck pain VAS scoresPreopPostopChangep value
    Maintained Group6.53.82.7<0.001
    Restored Group6.72.54.2<0.001
    Kyphotic Group6.33.62.70.015
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    Table 4

    Preoperative and postoperative arm pain VAS scores and the net change in these three groups.

    Arm pain VAS scoresPreopPostopChangep value
    Maintained Group4.32.22.10.001
    Restored Group4.72.32.40.067
    Kyphotic Group5.72.92.80.011
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    Table 5

    Preoperative and postoperative NDI scores and the net change in these three groups.

    NDI scoresPreopPostopChangep value
    Maintained Group42.830.8120.004
    Restored Group50.419.4310.007
    Kyphotic Group46.332.613.70.114
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    Table 6

    Incidences of adjacent segment degeneration and reoperations due to adjacent segment degeneration in the three groups.

    Maintained GroupRestored GroupKyphotic Group
    Adjacent segment degeneration, n (%)10 (16%)2 (12%)7 (30%)
    Reoperation due to adjacent segment degeneration, n (%)001 (4%)
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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Restoration of Cervical Alignment is Associated with Improved Clinical Outcome after One and Two Level Anterior Cervical Discectomy and Fusion
Xiaobang Hu, Donna D. Ohnmeiss, Jack E. Zigler, Richard D. Guyer, Isador H. Lieberman
International Journal of Spine Surgery Jan 2015, 9 61; DOI: 10.14444/2061

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Restoration of Cervical Alignment is Associated with Improved Clinical Outcome after One and Two Level Anterior Cervical Discectomy and Fusion
Xiaobang Hu, Donna D. Ohnmeiss, Jack E. Zigler, Richard D. Guyer, Isador H. Lieberman
International Journal of Spine Surgery Jan 2015, 9 61; DOI: 10.14444/2061
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Keywords

  • anterior cervical discectomy and fusion
  • cervical alignment
  • lordosis
  • Adjacent segment degeneration
  • clinical outcome

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