Evaluation of Pain Complications Following Anterior Cervical Discectomy
- Dr anila Noreen, PMC Rawalakot
- Dr Muhammad Ibrahim Kousar, Azad Jammu and Kashmir medical college muzaffarbad
- Dr anas sharif, Ajk mc Muzaffarbad
- Dr Hina Munawar, Ajk medical college Muzaffarabad
- Dr Asifa Ismail, Azad Jammu and Kashmir medical college muzaffarbad
- Dr Zoha Tasawar, Saidu Medical College
Abstract:
Background: Anterior cervical discectomy and fusion is currently the gold standard for Cervical disc Herniation which is a prevalent neurosurgical procedure that’s been carried out on regular basis with overall good results. The procedure however isn’t risk and complication free, the data however in the literature is scarce on it. This study is therefore carried out to evaluate the outcome of ACDF in terms of pain improvement and the peri-operative complications that comes along its peri-operatively.
Objectives: This study explores the outcome of ACDF in terms of pain free interval and complication’s post operatively. The study aims to explore the effectiveness of the procedure in terms of pain and exploration of morbidity caused by complications that comes along it. Timely and prompt management is hereby recommended to lessen the morbidity of the disease on quality of life.
Methods: A prospective study was conducted on a total of 104 patients diagnosed with prolapsed cervical intervertebral disc herniation on MRI. Patient underwent ACDF Between March 2024 T0 March 2025 at Neurosurgery Department of Bacha Khan Medical College. Inclusion criteria encompassed individuals age 20-70y with persistent radiculopathy diagnosed with prolapsed cervical disc herniation on MRI Cervical Spine.
RESULTS: A total of 104 patients were enrolled in the study. Males contributed 77.8% of the population while females 22.1%. The commonest presenting symptom was brachialgia 86.5%. The most common level involved was C5-6 75%, followed up by C6-7 17.3% and C4-5 7.6%. Screw dislodgment 8% was the commonest complication reported, followed up by wound infection 7% and dysphagia 3.8%. Pain as major preoperative symptom got improved in 84% of the patients.
Conclusion: In summary ACDF demonstrates promising results in addressing preoperative pain improvement with an 84% success rate with overall very little, yet manageable risk of perioperative complications.
Keywords: Evaluation, pain Improvement, Complications, Anterior Cervical Discectomy, Fusion.