THE EFFECT OF PREOPERATIVE CERVICAL SAGITTAL ALIGNMENT ON POSTOPERATIVE SURGICAL RESULTS IN PATIENTS TREATED BY ANTERIOR CERVICAL DISCECTOMY AND FUSION

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dc.authorid
dc.contributor.authorSubaşı, Canan
dc.contributor.authorTuncer, Cengiz
dc.contributor.authorEr, Uygur
dc.date.accessioned2021-12-01T18:22:30Z
dc.date.available2021-12-01T18:22:30Z
dc.date.issued2019
dc.department[Belirlenecek]en_US
dc.description.abstractObjective: Cervical degenerative disc diseases arise in some degenerative settings. These degenerative cervical changes may be a consequenceof cervical sagittal malalignment. The aim of this study is to assess preoperative profile and postoperative changes in cervical sagittal profiles;and correlation between these changes and surgical outcomes in patients undergoing anterior cervical discectomy and fusion.Materials and Methods: Eighty consecutive men and women who underwent anterior cervical discectomy and fusion (ACDF) were enrolled inthe study. Cervical alignment was classified into 4 types-lordotic, flat, sigmoid, and kyphotic. Lordosis angle was measured by the Cobb method.Segmental angle at the level of discectomy was measured. Preoperative, early postoperative, and the 1st and 3rd month visual analog scale resultswere recorded. Improvement of cervical sagittal alignment and visual analogue scale (VAS) changes were compared statistically.Results: The median preoperative VAS score was 7. This score decreased to 1 as a median immediately after operation. This change was statisticallysignificant. Sagittal alignment changes in early postoperative period were not statistically significant despite the observation of improvement insome patients. However, after 1st and 3rd months, results showed significant improvements.Conclusion: ACDF is an effective treatment of cervical degenerative disc diseases (CDDD). Decompression is still the main issue of the degenerativecervical diseases. Sagittal alignment may be restored by using lordotic cages. Patients with F sagittal shape may tend to develop CDDD more thanN sagittal profile. There is a correlation between clinical improvement and radiologic improvement.en_US
dc.identifier.doi10.4274/jtss.galenos.2019.0002
dc.identifier.endpage234en_US
dc.identifier.issn2147-5903
dc.identifier.issue4en_US
dc.identifier.startpage231en_US
dc.identifier.urihttps://doi.org/10.4274/jtss.galenos.2019.0002
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpVek56ZzFOUT09
dc.identifier.urihttps://hdl.handle.net/20.500.12684/9499
dc.identifier.volume30en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Turkish Spinal Surgeryen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keywords]en_US
dc.titleTHE EFFECT OF PREOPERATIVE CERVICAL SAGITTAL ALIGNMENT ON POSTOPERATIVE SURGICAL RESULTS IN PATIENTS TREATED BY ANTERIOR CERVICAL DISCECTOMY AND FUSIONen_US
dc.typeArticleen_US

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