Anterior Cervical Discectomy and Fusion Results

Anterior Cervical Discectomy and Fusion Results

Anterior Cervical Discectomy and Fusion Results

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How are the Results for Anterior Cervical Discectomy and Fusion?

General consensus by most surgeons and patients report a 95%-98% success rate in terms of relief of arm pain.  That statistic is very important for everyone to understand. Cervical Discectomy Surgery is successful for ARM PAIN.  Unfortunately,  that does not mean neck pain, or headaches.

Just like any procedure, surgical or not,  the success is determined by proper selection of the patient.  For Cervical Discectomy patients,  the ideal candidate is a healthy, normal weight adult,  without any significant arthritis of the spine,  that has an isolated single disk herniation, located to one side with corresponding arm pain,  weakness, numbness or tingling that does not respond to the usual conservative treatments or time.  With no other  sources of pain,  medical risks, and anatomy concerns,  this patient would be predicted to   have an excellent result with improved arm pain .  Unfortunately,  most patients do present with other issues that may factor into a less than ideal outcome.

Anterior Cervical Discectomy and Fusion can improve neck pain, and headaches,  but the rates of success specifically for those two problems are not as predictable.  The reason being, the causes of both the neck pain, and headaches are very difficult to exactly define. In terms of neck pain,  it can be secondary to arthritis of the facet joints of the neck,  with corresponding pain caused by rubbing of the arthritic joints.  While fusing that level may alleviate some of the neck pain,  usually, cervical facet joint arthritis is diffuse,  so you run the risk of still having neck pain despite fusion to one or two levels, as the third or fourth level may still be the cause of discomfort.  If you have neck fusion for facet arthritis,  please make sure you have investigated all the potential other cause of neck pain, and ask if your surgeon has isolated the neck pain to the specific levels of fusion.

Cervical Discectomy and Fusion for headaches can be equally as challenging.   While it is true that neck pain can cause headaches, and that nerves of the back of the neck can cause headaches,  it is difficult to associate all your headaches specifically to one or two areas of the neck.  As a great secondary effect,  after a patient has Cervical Discectomy and Fusion for arm pain,  often they notice improvements in neck pain and headaches.  But,  the predicted outcome of headache and neck pain relief is not as accurate as the prediction in improvement of arm pain, tingling and weakness.

The best outcomes occur in patients that understand the goals of the surgery.  Cervical Discectomy surgery has excellent predicted outcomes in terms of arm pain.  But you, the patient, need to understand that it may, or may not, relieve other concerns.

 

 

 

 

 

Citations

  • Davis RJ, Nunley PD, Kim KD, Hisey MS, Jackson RJ, Bae HW, Hoffman GA, Gaede SE, Danielson GO 3rd, Gordon C, Stone MB. Two-level total disc replacement with Mobi-C cervical artificial disc versus anterior discectomy and fusion: a prospective, randomized, controlled multicenter clinical trial with 4-year follow-up results. J Neurosurg Spine. 2015 Jan;22(1):15-25. PubMed PMID: 25380538

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

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The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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