Outpatient anterior cervical discectomy and fusion for cervical disk disease: a prospective consecutive series of 96 patients

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Abstract

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.

Conclusion

Lied B, Rφnning PA, Halvorsen CM, Ekseth K, Helseth E. Outpatient anterior cervical discectomy and fusion for cervical disk disease: a prospective consecutive series of 96 patients. Acta Neurol Scand: 2013: 127: 31–37. © 2012 John Wiley & Sons A/S.

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