A Prospective Study of Operative Outcomes of Anterior Cervical Discectomy and Fusion (ACDF) With a Tri-Cortical ILIAC Bone Graft in the Treatment of Cervical Myeloradiculopathy (CMR)

Abstract

Background: Compression of the spinal cord and/or nerve roots in the cervical spine causes CMR (Cervical Myeloradiculopathy), which frequently results in severe morbidity, including pain, paralysis, sensory impairments, and bowel/bladder dysfunction. A common surgical procedure for CMR patients who have not responded to conservative treatment or who exhibit increasing neurological damage is ACDF (Anterior Cervical Discectomy and Fusion). This prospective study goal was to assess the operative results of ACDF in the management of (CMR).

Methods: This study included a cohort of 38 patients diagnosed with CMR, who underwent ACDF. preoperative assessments included clinical evaluation, imaging (MRI, CT), and neurological testing. Postoperative outcomes were measured based on pain relief, functional recovery, and neurological improvement using the modified JOA score. Additionally, the study evaluated complication rates, including infection, graft displacement, and neurological deterioration.

Results: The results indicate that ACDF leads to significant improvements in both pain and neurological function, with a favorable safety profile. The majority of patients experienced marked recovery within 6-12 months postoperatively, with a low incidence of complications.

Conclusion: This study reinforces the fact that ACDF is an effective and reliable gold standard surgical intervention for patients with CMR, offering substantial long-term relief and functional improvement.