DOI: https://doi.org/10.25305/unj.139968

Dynamics of pain intensity in patients after anterior subaxial cervical fusion

Ievgenii I. Slynko, Alexey S. Nekhlopochin

Abstract


Objective: to study dynamics of pain intensity in patients undergone anterior subaxial cervical fusion depending on the type of fixing construction.

Materials and Methods. Thirty-five patients were operated for traumatic cervical spine injury: resection of the damaged vertebral body and fusion with vertical cylindrical implant types Mesh combined with ventral plate (29 patients) or telescopic vertebral body replacement implant (24 patients). The pain intensity was evaluated during observation period: before surgery, after 5–7 days, 3 months, 6 months and 12–18 months after operation using a numeral rating scale.

Results. The data obtained demonstrate the benefit of using telescopic vertebral body replacement implant that is evident as a lower level of pain intensity in patients in the postoperative period. The studied index difference is statistically significant in observation terms of 5–7 days and 3 months. The gradual leveling of differences between the groups is observed with 12–18 months after surgery.

Conclusion. The type of fusion system when used during surgery has a great influence on the pain duration in the postoperative period. Optimal selection of implant design can improve the quality of life in patients after anterior subaxial cervical fusion.


Keywords


pain; anterior cervical fusion; vertebral body replacement implant; numeral rating scale

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