Neurosurgeon Las Vegas Neurosurgical Institute Las Vegas, Nevada, United States
Introduction: Hybrid surgery (HS), combining adjacent anterior cervical discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA), is a relatively recent treatment option for multilevel cervical degenerative disc disease (DDD). There are minimal patient-reported cervical HS outcome measures published to date.
Methods: Given the novelty of HS and the relative shortage of clinical data adequately evaluating the treatment option, this current study aims to assess the patient-reported outcome measures, patient satisfaction, complications and reoperation rates of cervical hybrid procedures for symptomatic cervical multilevel DDD in a single institution.
Results: Improvement of pain and disability scores were clinically significant and these improvements were sustained throughout the follow-up period. There were no reoperations. All patients stayed in the hospital 23 hours or less. Average estimated blood loss was 7.3±3.4ml (range 5-15ml), and average operative time was 37.8±3.4 minutes (range 31-42 minutes). Average return to work/activities was 26±3 days. 3 patients had dysphonia at 6-week follow-up, in 1 patient dysphonia remained at 3-month follow-up.
Conclusion : This study represents clinical experience of a single surgeon with the cohort of patients undergoing HS reported to date. Cervical HS for cervical DDD demonstrates favorable clinical outcomes at short- to midterm follow-up. Patients undergoing HS are not at increased risk of perioperative complications and may benefit from fewer postoperative complications and shorter LOS.
How to Improve Patient Care: Cervical Hybrid Surgery for cervical DDD demonstrates favorable clinical outcomes at short- to midterm follow-up. Patients undergoing Hybrid Surgery are not at increased risk of perioperative complications and may benefit from fewer postoperative complications and shorter LOS.
