Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years
Abstract Background The need for anterior cervical discectomy and fusion (ACDF) for cervical degenerative disc disease (CDDD) will probably grow dramatically in the geriatric population. However, ACDF with self-locking standalone cages in patients over 80 years has not yet been investigated. This st...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-01-01
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| Series: | Journal of Orthopaedics and Traumatology |
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| Online Access: | https://doi.org/10.1186/s10195-025-00820-7 |
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| _version_ | 1832571422043537408 |
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| author | Jian Zhou An’nan Hu Xiaogang Zhou Jian Dong |
| author_facet | Jian Zhou An’nan Hu Xiaogang Zhou Jian Dong |
| author_sort | Jian Zhou |
| collection | DOAJ |
| description | Abstract Background The need for anterior cervical discectomy and fusion (ACDF) for cervical degenerative disc disease (CDDD) will probably grow dramatically in the geriatric population. However, ACDF with self-locking standalone cages in patients over 80 years has not yet been investigated. This study aimed to assess the clinical and radiographic results in patients over 80 years treated by ACDF with self-locking standalone cages. Methods Between January 2018 and December 2019, patients with CDDD treated with ACDF were retrospectively stratified into two groups: the older group (≥ 80 years) and the younger group (< 65 years). The data collected included the demographics, preoperative comorbidities, intraoperative parameters, length of hospital stay, complications, clinical scores, and radiological parameters. Results A total of 123 patients were included in the study. The mean follow-up duration was 28.3 ± 2.4 months. The hospital stay was 5.3 ± 0.6 days and 3.8 ± 0.4 days, respectively, for the older and younger groups. Postoperative complication rate was found higher in the older group than that of the young group without significance. All the patient-reported outcome parameters had significant improvement at the final follow-up. The two groups had no significant differences in terms of the excellent and reasonable rates, fusion rate, and the C2–C7 Cobb angle. Conclusions Although a slightly higher incidence of complications, poorer recovery rate, and more extended hospital stay were found, without significant differences, satisfactory clinical and radiographic results were obtained in the older patients. The self-locking standalone cage is a safe and viable option for patients over 80 years who suffer from CDDD. Level of evidence Level IV. |
| format | Article |
| id | doaj-art-086ef24a2f2244dab2ec8dfda718fe6b |
| institution | Kabale University |
| issn | 1590-9999 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Orthopaedics and Traumatology |
| spelling | doaj-art-086ef24a2f2244dab2ec8dfda718fe6b2025-02-02T12:36:34ZengSpringerOpenJournal of Orthopaedics and Traumatology1590-99992025-01-012611810.1186/s10195-025-00820-7Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 yearsJian Zhou0An’nan Hu1Xiaogang Zhou2Jian Dong3Department of Orthopaedic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan UniversityAbstract Background The need for anterior cervical discectomy and fusion (ACDF) for cervical degenerative disc disease (CDDD) will probably grow dramatically in the geriatric population. However, ACDF with self-locking standalone cages in patients over 80 years has not yet been investigated. This study aimed to assess the clinical and radiographic results in patients over 80 years treated by ACDF with self-locking standalone cages. Methods Between January 2018 and December 2019, patients with CDDD treated with ACDF were retrospectively stratified into two groups: the older group (≥ 80 years) and the younger group (< 65 years). The data collected included the demographics, preoperative comorbidities, intraoperative parameters, length of hospital stay, complications, clinical scores, and radiological parameters. Results A total of 123 patients were included in the study. The mean follow-up duration was 28.3 ± 2.4 months. The hospital stay was 5.3 ± 0.6 days and 3.8 ± 0.4 days, respectively, for the older and younger groups. Postoperative complication rate was found higher in the older group than that of the young group without significance. All the patient-reported outcome parameters had significant improvement at the final follow-up. The two groups had no significant differences in terms of the excellent and reasonable rates, fusion rate, and the C2–C7 Cobb angle. Conclusions Although a slightly higher incidence of complications, poorer recovery rate, and more extended hospital stay were found, without significant differences, satisfactory clinical and radiographic results were obtained in the older patients. The self-locking standalone cage is a safe and viable option for patients over 80 years who suffer from CDDD. Level of evidence Level IV.https://doi.org/10.1186/s10195-025-00820-7Cervical degenerative disc diseaseAnterior cervical discectomyAnd fusionSelf-locking standalone cageOver 80 years |
| spellingShingle | Jian Zhou An’nan Hu Xiaogang Zhou Jian Dong Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years Journal of Orthopaedics and Traumatology Cervical degenerative disc disease Anterior cervical discectomy And fusion Self-locking standalone cage Over 80 years |
| title | Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years |
| title_full | Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years |
| title_fullStr | Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years |
| title_full_unstemmed | Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years |
| title_short | Anterior cervical discectomy and fusion with self-locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years |
| title_sort | anterior cervical discectomy and fusion with self locking standalone cage for the treatment of cervical degenerative disc disease in patients over 80 years |
| topic | Cervical degenerative disc disease Anterior cervical discectomy And fusion Self-locking standalone cage Over 80 years |
| url | https://doi.org/10.1186/s10195-025-00820-7 |
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