Document Detail


Outpatient anterior cervical discectomy and fusion for cervical disk disease: a prospective consecutive series of 96 patients.
MedLine Citation:
PMID:  22571345     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate surgical complications and clinical outcome in a consecutive series of 96 patients undergoing anterior cervical discectomy and fusion (ACDF) for cervical disk degeneration (CDD) in an outpatient setting. METHODS: Pre-, per-, and postoperative data on patients undergoing single- or two-level outpatient ACDF at the private Oslofjord Clinic were prospectively collected. RESULTS: This study includes 96 consecutive patients with a mean age of 49.1 years. 36/96 had a two-level ACDF. Mean postoperative observation time before discharge was 350 min, and 95/96 were successfully discharged either to their home or to a hotel on the day of surgery. The surgical mortality was 0%, while the surgical morbidity rate was 5.2%. Two (2.1%) patients developed postoperative hematoma, 2 (2.1%) patients experienced postoperative dysphagia, and 1 (1%) experienced deterioration of neurological function. Radicular pain, neck pain, and headache decreased significantly after surgery. 91% of patients were satisfied with the surgery, according to the NASSQ. CONCLUSION: ACDF in carefully selected patients with CDD appears to be safe in the outpatient setting, provided a sufficient postoperative observation period. The clinical outcome and patient satisfaction of outpatients are comparable to that of inpatients.
Authors:
B Lied; P A Rønning; C M Halvorsen; K Ekseth; E Helseth
Related Documents :
22555325 - Natural history of non-operative treatment for renal injuries in children.
22631695 - Superficial temporal artery-middle cerebral artery bypass using local anesthesia and a ...
22564425 - The relationship of postoperative complications with in-hospital outcomes and costs aft...
22684655 - Post-operative serum uric acid and acute kidney injury.
21915085 - The effect of postoperative enoxaparin on risk for reoperative hematoma.
23859125 - Management of large median and lateral intravesical lobes during robot-assisted radical...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-10
Journal Detail:
Title:  Acta neurologica Scandinavica     Volume:  -     ISSN:  1600-0404     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370336     Medline TA:  Acta Neurol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 John Wiley & Sons A/S.
Affiliation:
Oslofjordklinikken, Oslo, Norway; Department of Neurosurgery, Oslo University Hospital, Oslo, Norway.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Primary and acquired resistance to epidermal growth factor receptor tyrosine kinase inhibitors in no...
Next Document:  Pleural effusion decreases left ventricular pre-load and causes haemodynamic compromise: an experime...