ArticleJournal of orthopaedic surgery and research2024
The influence of anterior cervical discectomy and fusion surgery on cervical muscles and the correlation between related muscle changes and surgical efficacy.
Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 3 citations in OpenAlex.
- [Effectiveness analysis of anterior intervertebral osteotomy and fusion assisted by inflection point of uncinate process for treatment of cervical spondylotic myelopathy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Lower deep-to-superficial extensor muscle ratio (DSR) as an independent risk factor for early titanium implant subsidence following single-level anterior cervical corpectomy and fusion.Neurosurgical review · 2026Article
- Impact of different paraspinal muscle mass on the prognosis of ACDF-a finite element analysis.Frontiers in bioengineering and biotechnology · 2026Article
- Application of Systematic Dietary Management in Postoperative Swallowing Care of Patients Undergoing Anterior Cervical Surgery.International journal of spine surgery · 2025Article
- Testing the Reliability of a Procedure Using Shear-Wave Elastography for Measuring Longus Colli Muscle Stiffness.Sensors (Basel, Switzerland) · 2025Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAnterior cervical discectomy and fusion surgery (ACDF) is a common technique in treating degenerative cervical spondylosis. This study is to evaluate the changes of cervical muscles after ACDF and analyze the correlation between related muscle changes and clinical efficacy.
methodsSixty-five postoperative patients (single-level ACDF) with cervical spondylotic myelopathy from January 2013 to December 2022 were analyzed. The measured parameters include: the axial section of longus colli cross-sectional area (AxCSA), the volume of cervical longus, the ratio of long and short diameter line (RLS), the cervical extensor cross-sectional area (CESA), the vertebral body area (VBA), and the CESA/VBA. The visual analog scale (VAS), modified Japanese Orthopedic Association score (mJOA), and neck disability index (NDI) were evaluated. The changes in muscle morphology were analyzed, and the correlation analysis was conducted between morphological changes and function scores.
resultsThe postoperative AxCSA of surgical segment (3rd month, 12th month, and the last follow-up) was decreased compared to preoperative (141.62 ± 19.78), and the differences were significant (P < 0.05). The corresponding data reduced to (119.42 ± 20.08) mm
conclusionThe volume of cervical longus decreased and its morphology changed after ACDF surgery. The mainly affected muscle was the cervical longus closing to the surgical segment. Negative correlation was found between the postoperative volume of cervical longus and function scores (VAS and NDI).
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