Clinical and radiological comparison of hybrid surgery and fusion application with peek cage in patients undergoing three-level anterior cervical discectomy

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dc.authorid0000-0002-9318-4800
dc.authorid0000-0001-9785-9062
dc.contributor.authorBulut, Güray
dc.contributor.authorÇataltepe, Aziz
dc.contributor.authorTaşkapılıoğlu, Mevlüt Özgür
dc.date.accessioned2022-11-16T09:11:42Z
dc.date.available2022-11-16T09:11:42Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective In this study, we aimed to compare patients with degenerative cervical disc herniation (CDH) who had undergone three-level anterior cervical discectomy (ACD) and fusion with a peek cage supported by synthetic bone graft in all levels to the cases with CDH with hybrid surgery (HS) regarding their radiological findings and surgical results. Materials and Methods The patients who had undergone three-level ACD were evaluated retrospectively. The cases who were followed up for 2 years and longer were evaluated regarding gender, age, radiological findings, and patient satisfaction. A radiological assessment was made by calculating the Cobb angle on lateral cervical radiographs. Clinical assessment was performed by the Neck Disability Index (NDI). Results In the first group, 13 patients had undergone ACD and fusion with peek cage and bone graft, and in the hybrid group, there were 11 patients in whom fusion with peek cage and bone graft were made in two levels, and cervical disc arthroplasty was performed throughout the distance in-between. In the hybrid group, the 1-month and 24-month changes in cervical range of motion in hyperflexion were statistically significant (p < 0.05). In both groups, significant improvements of NDI were determined postoperatively (p < 0.05). When the groups were compared, the 1-month and 24-month improvements were statistically significantly increased in the hybrid surgery group compared to the group that underwent fusion surgery with a cage (p < 0.05). Conclusions HS is a reliable and effective treatment method in the three-level cervical disk disease for preserving and improving cervical ROM, particularly in the flexion position.
dc.identifier.citationBulut, G., Çataltepe, A. ve Taşkapılıoğlu, M. Ö. (2022). Clinical and radiological comparison of hybrid surgery and fusion application with peek cage in patients undergoing three-level anterior cervical discectomy. Indian Journal of Orthopaedics, 56(7), 1227-1233. https://doi.org/10.1007/s43465-022-00630-7
dc.identifier.doi10.1007/s43465-022-00630-7
dc.identifier.endpage1233
dc.identifier.issn0019-5413
dc.identifier.issn1998-3727
dc.identifier.issue7
dc.identifier.pmid35813542
dc.identifier.scopus2-s2.0-85127553126
dc.identifier.scopusqualityQ3
dc.identifier.startpage1227
dc.identifier.urihttps://doi.org/10.1007/s43465-022-00630-7
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9972
dc.identifier.volume56
dc.identifier.wos000781169800001en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBulut, Güray
dc.institutionauthorÇataltepe, Aziz
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofIndian Journal of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCervical Anterior Fusion
dc.subjectCervical Arthrodesis
dc.subjectCervical Disk Herniation
dc.subjectCervical Disk Prosthesis
dc.subjectCervical Diskectomy
dc.subjectCervical Hybrid Surgery
dc.subjectDegenerative Cervical Disc Herniation
dc.subjectHybrid Surgery
dc.subjectMultiple Level Disk Herniation
dc.subjectPeek Cage
dc.titleClinical and radiological comparison of hybrid surgery and fusion application with peek cage in patients undergoing three-level anterior cervical discectomy
dc.typeArticle

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