Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2017 Nov 28;17(1):113.
doi: 10.1186/s12893-017-0316-9.

ACDF vs TDR for patients with cervical spondylosis - an 8 year follow up study

Bolong Zheng  1 , Dingjun Hao  1 , Hua Guo  1 , Baorong He  2
Affiliations
Comparative Study

ACDF vs TDR for patients with cervical spondylosis - an 8 year follow up study

Bolong Zheng et al. BMC Surg. .

Abstract

Background: ACDF has been considered as the gold standard in the treatment of single level cervical disk protrusion. However, it may cause adjacent level degeneration due to regional biomechanical changes. TDR has been applied with satisfactory results for over a decade, but there is no consensus if TDR is safer and more efficient than ACDF. The current study was carried out to compare the efficiency and safety of TDR and ACDF in the treatment of patients with single level cervical disk protrusion.

Methods: One hundred forty-five consecutive patients who underwent either TDR or ACDF in our center were included in the current study. Time of surgery, intraoperative blood loss, VAS arm and neck pain scores, ROM, ODI, SF36 and Patient satisfaction were compared before the surgery, after the surgery, and during follow up 1, 3, 5, 8 years after the surgery.

Results: The time of surgery was 64.6 ± 20.7 min in the ACDF group and 69.4 ± 19.3 min in the TDR group; intraoperative hemorrhage was 67.2 ± 14.3 ml in ACDF group and 70.7 ± 18.6 ml in TDR group. There were no significant differences between two groups concerning time of surgery and intraoperative blood loss. No differences were found concerning patient satisfaction between the two groups during the follow up (P > 0.05). Significant differences were found between the groups concerning VAS arm and neck pain scores, ROM, ODI and SF36 after the surgery and during the 8 year follow up.

Conclusion: TDR may be a more effective approach than ACDF for treating patients with single level cervical disk protrusion.

Keywords: ACDF; Cervical disk herniation; TDR Retrospective study..

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the ethical committee of Honghui Hospital, Xi’an Jiaotong University. All the patients gave written consent to for research applications of their clinical data. The patient data was anonymised in this study.

Consent for publication

Not applicable.

Competing interests

The authors declare no conflict of interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
A patient with the indications of TDR: preoperative (a, b) and postoperative (c, d) radiological manifestations
Fig. 2
Fig. 2
A patient with the indications of ACDF: preoperative (a, b) and postoperative (c, d) radiological manifestations
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Wang C, Tian F, Zhou Y, et al. The incidence of cervical spondylosis decreases with aging in the elderly, and increases with aging in the young and adult population: a hospital-based clinical analysis[J] Clin Interv Aging. 2016;2016:47–53. - PMC - PubMed
    1. Amenta PS, Ghobrial GM, Krespan K, et al. Cervical spondylotic myelopathy in the young adult: a review of the literature and clinical diagnostic criteria in an uncommon demographic[J] Clin Neurol Neurosurg. 2014;2014:68–72. doi: 10.1016/j.clineuro.2014.02.019. - DOI - PubMed
    1. Ali M, Kachur E, Bennardo M, et al. Cervical Spondylosis surgery level and age: a comparative analysis[J] Spine J. 2013;13(9):S118. doi: 10.1016/j.spinee.2013.07.310. - DOI
    1. Bible JE, Kang JD. Anterior cervical discectomy and fusion: surgical indications and outcomes[J] Seminars in Spine Surgery. 2016;28(2):80–83. doi: 10.1053/j.semss.2015.11.002. - DOI
    1. Angevine PD, Zivin JG, Mccormick PC, et al. Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis[J] Spine. 2005;30(17):1989–1997. doi: 10.1097/01.brs.0000176332.67849.ea. - DOI - PubMed

Publication types

LinkOut - more resources