부산대학교 도서관

Objective: Analysis of the basic characteristics and primary outcome of the patients that suffered of clinical symptomatic degenerative cervical disk disease and underwent surgery between 2012-2016 in our clinic. Material and methods: Our study includes 65 patients in total. Amongst them 29 were men and 36 women.37 patients presented with radiculopathy and 28 with myelopathy. 58 patients underwent anterior cervical discectomy and fusion and 7 patients underwent posterior cervical laminectomy. Post op follow-up was 6 months. Results: Most of radiculopathy suffering patients reported immediate post-operative pain relief. Some patients mentioned intermittent episodes of neck and radicular pain, in the majority of cases self-limited. In cases of myelopathy, the majority experienced improvement in walking, pain and sphincter control, with some of them complaining of persistent symptomatology. There was no infection among cohort. There was one patient reoperated due to hematoma, five patients had previous surgery in another level or needed additional posterior approach and three patients had evidence of fusion failure that needed follow-up but no reoperation. Conclusion: Anterior cervical discectomy and fusion is the approach of choice in cases of cervical radiculopathy and myelopathy, with promising results for the patients. In cases especially of myelopathy, persistent symptoms may be present long term after surgery but for the majority there is enough improvement for patients to be satisfied. It is important to precisely inform patients for the aim, complication and expected results of surgical treatment of cervical degeneration disease. [ABSTRACT FROM AUTHOR]