Cervical Disc Disease
Conditions
Brief summary
The incidence of degenerative cervical conditions is increasing with the aging population, and it is well-recognized as a primary cause of myelopathy, radiculopathy, and disc herniation. Degenerative cervical conditions are the most prevalent conditions of the spinal cord, mainly affecting male patients over 55 years old. Currently, the treatment of degenerative spinal diseases remains focused on managing symptoms using both conservative and surgical methods. Surgical decompression can enhance neurological function and prevent future deterioration.
Detailed description
Anterior cervical discectomy and fusion (ACDF) is one of the most performed spinal operations and is considered the gold standard for treating cervical spondylosis with myelopathy, radiculopathy, or disc herniation refractory to conservative management. The mechanical goal of ACDF is to eliminate motion between adjacent vertebrae by forming a solid bony union, which is obtained by minimizing intervertebral motion during the fusion phase. However, un-instrumented ACDF is associated with higher complication rates, pseudoarthrosis, and a propensity for kyphosis at the operative levels, leading to significant postoperative neck pain until fusion is achieved.
Interventions
PROCEDUREAnchored cage for CDD
Radiological and clinical outcomes of Anchored cage for CDD
Sponsors
Al-Azhar University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-70 years old. * No prior cervical spine surgery. * Cervical degenerative disease: * Between C3-C4 to C6-C7. * Responsible for myelopathy or radiculopathy symptoms. * Resistant to conservative treatment.
Exclusion criteria
* Systemic, spinal, or localized infection. * Active rheumatoid arthritis or any other medical conditions that interfere with normal healing or increase surgical risk. * Known allergy to the implant materials used. * Malignancy and spinal metastasis. * Refusal to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Neck and Arm Pain Intensity Measured by Visual Analog Scale (VAS) | Preoperatively, and postoperatively at 1 month, 3 months, 6 months, and 12 months | The Visual Analog Scale (VAS) is a self-reported score ranging from 0 (no pain) to 10 (worst possible pain). Higher scores indicate greater pain intensity. Pain will be assessed separately for neck, shoulder, and arm pain |
| Change in Neck Functional Disability Measured by Neck Disability Index (NDI) | Preoperatively, and postoperatively at 1 month, 3 months, 6 months, and 12 months. | The Neck Disability Index (NDI) is a questionnaire measuring functional status and disability related to neck pain, scored as a percentage from 0% (no disability) to 100% (complete disability) . Lower scores indicate better functional capacity |
Countries
Egypt
Outcome results
None listed