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Outpatient anterior cervical discectomy and fusion for cervical disk disease: a prospective consecutive series of 96 patients
Author(s) -
Lied B.,
Rønning P. A.,
Halvorsen C. M.,
Ekseth K.,
Helseth E.
Publication year - 2013
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.2012.01674.x
Subject(s) - medicine , anterior cervical discectomy and fusion , surgery , postoperative hematoma , neck pain , prospective cohort study , radicular pain , dysphagia , patient satisfaction , outpatient clinic , outpatient surgery , hematoma , cervical spine , lumbar , ambulatory , alternative medicine , pathology
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 O slofjord C linic 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.