CLINICAL OUTCOMES OF ANTERIOR CERVICAL DISCECTOMY AND FUSION WITHOUT PLATING FOR TREATMENT OF CERVICAL DISC HERNIATION

Abstract

In a comprehensive prospective study involving 50 participants, the efcacy of Anterior Cervical Discectomy and Fusion (ACDF) without the use of anterior plating was evaluated for the treatment of cervical disc herniation. The study's ndings, observed over a 1-year follow-up period, revealed that a substantial majority, 96%, experienced complete relief from radicular pain, and 91% reported signicant functional improvements. The data further highlighted a notable enhancement in patients' quality of life, as evidenced by a marked improvement in Neck Disability Index (NDI) scores from 11% at the 3-month mark to 7% at the conclusion of the study. Additionally, EQ-5D scores, indicative of overall health status, reached an optimal level of 5.0. The incidence of surgical complications and the need for subsequent procedures due to adjacent segment disease were found to be minimal. These promising outcomes underscore the potential of ACDF without plating as a viable, minimally invasive therapeutic option for individuals suffering from cervical disc herniation, emphasizing the necessity for extended research to further validate these preliminary ndings. This prospective study is aimed to evaluate the clinical outcomes of anterior cervical discectomy and fusion (ACDF) without plating in patients with cervical disc prolapse. The study was conducted over a period of one year, encompassing 50 cases that underwent ACDF without anterior plating. The primary objective was to assess the effectiveness of this less invasive surgical approach in terms of pain relief, functional recovery, fusion rates, and overall patient satisfaction.