Clinical-Epidemiological Profile of Patients Who Underwent Cervical Arthrodesis in a Teaching Hospital During 2022 and 2023

Resumo

Introdução: A artrodese cervical é uma cirurgia muito utilizada para tratar diversas patologias cervicais, tornando-a um procedimento importante na área da cirurgia de coluna. Fatores como o tamanho da cirurgia e a etiologia da patologia afetam os benefícios do procedimento. Objetivo: Analisar quais grupos, dentro de características clínicas e epidemiológicas, obtiveram melhores resultados após serem submetidos à artrodese cervical e realizarem acompanhamento ambulatorial por seis meses. Métodos: Estudo retrospectivo, observacional, realizado por meio da análise de prontuários de indivíduos submetidos à cirurgia de artrodese cervical e que realizaram pelo menos seis meses de acompanhamento ambulatorial durante 2022 e 2023. Resultados: Foram analisados 36 pacientes, sendo 18 homens e 18 mulheres, com média de idade de 51 ± 11,5 anos. Após seis meses, 29 pacientes tiveram remissão completa da sintomatologia, cinco indivíduos apresentaram melhora parcial do quadro clínico, e somente dois pacientes não apresentaram melhora. Conclusão: A cirurgia de artrodese cervical é um procedimento seguro e eficaz para o tratamento de diversas patologias. Pacientes que realizaram a fusão de um nível vertebral obtiveram resultados mais satisfatórios mais rapidamente; entretanto, a longo prazo, todos os grupos tiveram resultados semelhantes. O sintoma que apresentou a melhor resolução foi a de cervicalgia e/ou cervicobraquialgia.

Palavras-chave

Artrodese cervical; Coluna, doenças degenerativas; Níveis vertebrais; Acompanhamento ambulatorial

Abstract

Introduction: Cervical arthrodesis is a widely used surgical procedure to treat various cervical pathologies, making it an essential technique in spine surgery. Factors such as the extent of the surgery and the etiology of the pathology influence the benefits of the procedure. Objective: To analyze which groups, based on clinical and epidemiological characteristics, achieved the best outcomes after undergoing cervical arthrodesis and completing six months of outpatient follow-up. Methods: A retrospective, observational study conducted through the analysis of medical records of individuals who underwent cervical arthrodesis surgery and completed at least six months of outpatient follow-up during 2022 and 2023. Results: A total of 36 patients were analyzed, including 18 men and 18 women, with a mean age of 51 ± 11.5 years. After six months, 29 patients achieved complete remission of symptoms, five showed partial improvement in their clinical condition, and only two patients showed no improvement. Conclusion: Cervical arthrodesis is a safe and effective procedure for treating various pathologies. Patients who underwent single-level vertebral fusion achieved more satisfactory results more quickly; however, all groups demonstrated similar long-term outcomes. The symptom with the best resolution was cervicalgia and/or cervicobrachialgia.

Keywords

Cervical arthrodesis; Degenerative spinal diseases; Vertebral levels; Outpatient follow-up

References

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Clinical-Epidemiological Profile of Patients Who Underwent Cervical Arthrodesis in a Teaching Hospital During 2022 and 2023

Perfil Clínico-Epidemiológico de Pacientes Submetidos à Artrodese Cervical em um Hospital- Escola Durante 2022 e 2023

Resumo

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JBNC Brazilian Journal of Neurosurgery

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