COMPARING RESULTS OF POSTERIOR CERVICAL FACET JOINT CAGE STABILIZATION WITH LATERAL MASS FIXATION IN CERVICAL FORAMINAL STENOSIS
Journal of Turkish Spinal Surgery, cilt.34, sa.2, ss.76-81, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 2
- Basım Tarihi: 2023
- Doi Numarası: 10.4274/jtss.galenos.2023.94914
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.76-81
- Anahtar Kelimeler: Cervical disc degeneration, cervical spondylosis, lateral mass screw fixation, posterior cervical facet cages
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Although neck and arm pain are the most common symptoms of cervical foraminal stenosis, neuromotor deficits are also observed. The most common surgical treatment for cervical foraminal stenosis is cervical decompression and fusion. This process is difficult and invasive. The study evaluates the effectiveness and results of posterior cervical facet cages (PCFC) operation in cervical foraminal stenosis. Materials and Methods: In this study, 80 patients who underwent PCFC operation and 70 patients who underwent decompression with lateral mass screw fixation (LMSF) between May 2016 and May 2021 were evaluated. Clinical information, laboratory results, and radiological findings were reviewed retrospectively. The patients were divided into two groups PCFC -applied patients in group 1 and LMSF- applied patients in group 2. Pain complaints of the patients were evaluated using a visual analog scale (VAS). Posterior disc height (PDH) (mm) and foraminal height (FH) (mm) were used for radiological evaluation. Results: The mean hospitalization time of the patients was 27 h in group 1 and 92 h in group 2. There was a statistically significant difference between the groups in terms of mean hospitalization time (p<0.001). The mean preoperative and postoperative VAS scores in group 1 were 6.8 and 2.9 for neck pain, and 7.1 and 2.6 for arm pain, respectively. Mean preoperative and postoperative VAS scores in group 2 were 6.7 and 3.8 for neck pain, respectively. There was a statistically significant difference between the groups in terms of a decrease in VAS scores (p<0.001). PDH in group 1 was 2.3 mm preoperatively and 2.6 mm postoperatively. The FH was 10.2 mm preoperatively and 10.5 mm postoperatively. In group 2, PDH was 2.4 mm preoperatively and 2.3 mm postoperatively. FH was 10.6 mm preoperatively, and no postoperative change was detected. There was a statistically significant difference between groups 1 and 2 in terms of PDH and FH (p<0.001). Conclusion: It shows that minimally invasive facet cages can be considered as a safe alternative method for root decompression and spinal fusion in cervical foraminal stenosis.