{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T05:36:19Z","timestamp":1663738579494},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":2119,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>This report presents two cases of cervicobrachialgia and radiculopathy due to multiple cervical herniated discs and spur formation that dealt with anterior cervical discectomy and fusion (ACDF) using different titanium interbody cages. The description of the clinical presentation, magnetic resonance imaging (MRI) appearances and management strategy are discussed. Both cases showed chronic neck pain and radiating pain from the shoulder to the arm. They had a history of blurry vision, cluster head ache, weakness, and numbness on the shoulder for 2 years. MRI revealed multiple herniated discs between C4-7 and accompanied by the spur formation leading to the narrowness of the spinal canal and its foramina bilaterally. ACDF were performed and complete decompression of the spinal canal and its foramina were carried out. Twin M-cages (Ammtec Inc.-Japan) were placed in the first case at C5-7 levels and single cage of Smith Robinson (SR) was placed in the second case at C5-6 levels. There were no more blurry vision, cluster headache, weakness, and numbness, immediately after surgery. To our knowledge, this is the first reported cases of ACDF, using twin M-cages and single SR cage in Indonesia, with improvement immediately after surgery. Cervical spondylosis can present with cervicobrachialgia and radiculopathy and surgical treatment produces good functional outcome.<\/jats:p>","DOI":"10.4103\/1793-5482.145122","type":"journal-article","created":{"date-parts":[[2014,11,20]],"date-time":"2014-11-20T07:28:24Z","timestamp":1416468504000},"page":"453-454","source":"Crossref","is-referenced-by-count":1,"title":["Anterior cervical discectomy and fusion with titanium cages for simple or multilevel herniated discs and spur of the cervical spine: Report of 2 cases and experience in Bali"],"prefix":"10.1055","volume":"11","author":[{"given":"G","family":"Mahadewa Tjokorda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Udayana University-Sanglah Hospital, Bali"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Golden","family":"Nyoman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Udayana University-Sanglah Hospital, Bali"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maliawan","family":"Sri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Udayana University-Sanglah Hospital, Bali"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mizuno","family":"Junichi","sequence":"additional","affiliation":[{"name":"Center for Spine and Spinal Cord Disorders, Southern Tohoku General Hospital, Iwanuma, Miyagi"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"key-10.4103\/1793-5482.145122-1","first-page":"403","volume-title":"Early results after ProDisc-C cervical disc replacement","author":"Bertagnoli","year":"2005","journal-title":"J NeurosurgSpine"},{"key":"key-10.4103\/1793-5482.145122-2","first-page":"197","volume-title":"One- and two-level anterior cervical discectomy and fusion: The effect of plate fixation","author":"Bolesta","year":"2002","journal-title":"Spine J"},{"key":"key-10.4103\/1793-5482.145122-3","first-page":"8","volume-title":"Anterior cervical arthrodesis using DOC dynamic stabilization implant for improvement in sagittal angulation and controlled settling","author":"Bose","year":"2003","journal-title":"J Neurosurg Spine"},{"key":"key-10.4103\/1793-5482.145122-4","first-page":"3","volume-title":"Anterior cervical instrumentation enhances fusion rates in multilevel reconstruction in smokers","author":"Bose","year":"2001","journal-title":"J Spinal Disord"},{"key":"key-10.4103\/1793-5482.145122-5","first-page":"998","volume-title":"Anterior cervical discectomy and fusion for cervical disc disease","author":"Cherry","year":"2002","journal-title":"AORN J"},{"key":"key-10.4103\/1793-5482.145122-6","first-page":"376","volume-title":"Cervical spondylotic myelopathy: Diagnosis and treatment","author":"Emery","year":"2001","journal-title":"J Am AcadOrthopSurg"},{"key":"key-10.4103\/1793-5482.145122-7","first-page":"S15","volume-title":"Intervertebral disc prostheses","author":"Guyer","year":"1986","journal-title":"Spine (Phila Pa"},{"key":"key-10.4103\/1793-5482.145122-8","first-page":"146","volume-title":"Increased rate of arthrodesis with strut grafting after multilevel anterior cervical decompression","author":"Hilibrand","year":"1986","journal-title":"Spine (Phila Pa"},{"key":"key-10.4103\/1793-5482.145122-9","first-page":"313","volume-title":"A modified technique for anterior multilevel cervical fusion","author":"Hodges","year":"2002","journal-title":"J OrthopSci"},{"key":"key-10.4103\/1793-5482.145122-10","first-page":"707","volume-title":"Serial changes in signal intensities of the adjacent discs on T2-weighted sagittal images after surgical treatment of cervical spondylosis: Anterior interbody fusion versus expansive laminoplasty","author":"Iseda","year":"2001","journal-title":"ActaNeurochir (Wien)"},{"key":"key-10.4103\/1793-5482.145122-11","first-page":"307","volume-title":"Cervical arthroplasty in the management of spondylotic myelopathy","author":"Sekhon","year":"2003","journal-title":"J Spinal Disord Tech"},{"key":"key-10.4103\/1793-5482.145122-12","unstructured":"Krista N. HerniatedCervical Disc Symptoms and Vision. Available from: http:\/\/www.ehow.com\/facts_6796903_herniated-cervical-disc- symptoms-vision.html#ixzz29ilJmgC1. 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