Kingsley R Chin1,2,3,4, Fabio J R Pencle5,3, Juan M Valdivia5,6, Jason A Seale5,3, Josue P Gabriel5,7. 1. Herbert Wertheim College of Medicine at Florida International University. 2. Charles E. Schmidt College of Medicine at Florida Atlantic University. 3. Less Exposure Surgical Specialists Institute (LESS Institute), 3816 Hollywood Blvd. Ste #102, Hollywood, FL 33021. 4. Univerity of Technology, Jamaica, WI. 5. Less Exposure Surgery (LES) Society, 350 Main St., Malden, MA 02148. 6. BayCare Medical Group, 2727 West Dr. Martin Luther King Jr. Blvd. Suite 460, Tampa, FL 33607. 7. Spine Institute of Ohio, 3535 Fishinger Blvd, Suite 280, Hilliard, OH 43026.
Abstract
BACKGROUND: Authors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR). METHODS: 10 patients with ACDF and posterior laminectomy reviewed. RESULTS: 60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m2. VAS and NDI showed significant improvement, p < 0.001, p = 0.02 respectively. Mean PCS 31.9 ± 2.7, MCS 38.9 ± 3.4 improved to mean PCS 42.2 ± 5.1, MCS 51.0 ± 4.7, p = 0.09 and 0.06 respectively. At final follow up fusion rate was 90% and all patients had Nurick Grade 0. CONCLUSION: In this pilot study, procedure shown to be safe with improved symptoms.
BACKGROUND: Authors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR). METHODS: 10 patients with ACDF and posterior laminectomy reviewed. RESULTS: 60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m2. VAS and NDI showed significant improvement, p < 0.001, p = 0.02 respectively. Mean PCS 31.9 ± 2.7, MCS 38.9 ± 3.4 improved to mean PCS 42.2 ± 5.1, MCS 51.0 ± 4.7, p = 0.09 and 0.06 respectively. At final follow up fusion rate was 90% and all patients had Nurick Grade 0. CONCLUSION: In this pilot study, procedure shown to be safe with improved symptoms.