Postoperative Rehabilitation Comparison of Patients After Anterior Cervical Disectomy and Autograft Fusion With or Without Smoothing the Donor Site Defect
DOI:
https://doi.org/10.32734/sumej.v8i1.5831Keywords:
ACDF, autograft, cervical HNP, disability, rehabilitationAbstract
Background: Anterior cervical discectomy and autograft fusion (ACDF) is the gold standard of surgical treatment for HNP cervical. However, donor site complication has found in the form of pain that could lead to disability. The edge of the donor site defect can initiate pain may reduce patient’s quality of life. High ambulation can be earned by smoothing the donor site defect. Objective: The purpose of this study is to determine the quality of patient rehabilitation after ACDF with autograft between smoothing group and non-smoothing group. Methods: This cross-sectional study was conducted at the Adenin Adenan Hospital Medan. Patients who had undergone ACDF with autograft in 2015–2020 were assessed for their disability at the first, third, and sixth months postoperatively using Barthel Index. Total sampling method was used with inclusion and exclusion criteria. Results: There were 41 respondents in this study, 20 people in the non-smoothing group and 21 people in the smoothing group. The disability experienced by the smoothing group was less than the non-smoothing group at each month of measurement, but only significant (p<0.05) at the sixth month. Conclusion: Conclusions of this study was disability and rehabilitation outcomes in the smoothing group were better than in non-smoothing group.
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Dydyk AM, Massa RN, Mesfin FB. Disc Herniation. NCBI [Internet]. 2020 [cited 2020 Apr 5]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441822/.
Citow JS, et al. Comprehensive Neurosurgery Board Review. 3rd ed. New York: Thieme Medical Publishers; 2020.
Sharrak S, Khalili YA. Cervical Disc Herniation. NCBI [Internet]. 2019 [cited 2020 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546618/.
Hu Y, Lv G, Ren S, Johansen D. Mid- to long-term outcomes of cervical disc arthroplasty versus anterior cervical discectomy and fusion for treatment of symptomatic cervical disc disease: a systematic review and meta-analysis of eight prospective randomized controlled trials. NCBI [Internet]. 2016 [cited 2020 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752293/.
Lin C-T. Anterior Cervical Discectomy Technique. Medscape [Internet]. 2018 [cited 2020 Apr]. Available from: https://emedicine.medscape.com/article/1999947-technique.
Sugawara T. Anterior cervical spine surgery for degenerative disease: a review. NCBI [Internet]. 2015 [cited 2020 Apr 4]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628186/.
Steinmetz MP, Benzel EC. Benzel's Spine Surgery Techniques, Complication, Avoidance, and Management. 4th ed. Philadelphia: Elsevier; 2017.
Perrini P, Di Lorenzo N. Anterior cervical decompression and fusion with autologous bone graft. In: Menchetti PPM, editor. Cervical Spine Minimally Invasive and Open Surgery. Switzerland: Springer International Publishing; 2016.
Silber JS, Anderson DG, Daffner SD, Brislin BT, Leland JM, Hilibrand AS, Vaccaro AR, Albert TJ. Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion. Spine (Phila Pa 1976). 2003;28(2):134–9.
World Health Organization. Rehabilitation. World Health Organization [Internet]. 2019 [cited 2020 May 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/rehabilitation.
Burkhardt BW, Simgen A, Wagenpfeil G, Reith W, Oertel JM. Adjacent segment degeneration after anterior cervical discectomy and fusion with an autologous iliac crest graft: a magnetic resonance imaging study of 59 patients with a mean follow-up of 27 yr. Neurosurgery. 2017;0(0):1–9.
Pollock R, Alcelik I, Bhatia C, Chuter G, Lingutla K, Budithi C, Krishna M. Donor site morbidity following iliac crest bone harvestion for cervical fusion: a comparison between minimally invasive and open techniques. Eur Spine J. 2008;17(6):845–52.
Heindel KJ, Preston GP, Tharp JS. Chronic morbidity of a pilot hole burr technique for anterior iliac crest autograft in cervical fusion. Orthopedics. 2019;42(1):e68–73.
Wong JJ, Côté P, Quesnele JJ, Stern PJ, Mior SA. The course and prognostic factors of symptomatic cervical disc herniation with radiculopathy: a systematic review of the literature. Spine J. 2014;14(8):1781–9.
Kim YK, Kang D, Lee I, Kim SY. Differences in the incidence of symptomatic cervical and lumbar disc herniation according to age, sex and national health insurance eligibility: a pilot study on the disease's association with work. Int J Environ Res Public Health. 2018;15(10):2094.
Dharmajaya R, Sari DK, Ganie RA. A comparison of the quality of sleep between pre and post-surgery cervical herniated nucleus pulposus patients utilizing the anterior discectomy method. Open Access Maced J Med Sci. 2017;5(7):948–54.
Teo SJ, Yeo W, Ling MZ, Fong PL, Guo CM, Chen JLT, Soh RCC. The effect of body mass index on long-term patient-reported outcome scores after anterior cervical discectomy and fusion in an Asian population: a 2-year study. Asian Spine J [Internet]. 2020 [cited 2020 Nov 28]. Available from: https://doi.org/10.31616/asj.2020.0012.
American Association on Health and Disability. Obesity and disability. American Association on Health and Disability [Internet]. 2019 [cited 2020 Dec 1]. Available from: https://aahd.us/wpcontent/uploads/2012/03/Obesity2011.pdf.
Narain AS, Hijji FY, Haws BE, Kudaravalli KT, Yom KH, Markowitz J, Singh K. Impact of body mass index on surgical outcomes, narcotics consumption, and hospital costs following anterior cervical discectomy and fusion. J Neurosurg Spine. 2017.
Coronado RA, Devin CJ, Pennings JS, Aaronson OS, Haug CM, Van Hoy EE, Vanston SW, Archer KR. Safety and feasibility of an early telephone-supported home exercise program after anterior cervical discectomy and fusion: a case series. Physiother Theory Pract. 2019.
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