Clinical efficacy and safety of anterior cervical spine surgery without drainage tube
Objective:To explore the clinical efficacy and safety of anterior cervical spine surgery(ACSS)without drainage tube.Methods:Twenty patients who underwent double-level anterior cervical decompression and fusion(ACDF)surgery without drainage tube from June 2019 to December 2020 were selected as the observation group.Employing a 1:2 matched case-control study design,40 patients with drainage tube were selected as the control group with gender and surgical segment matched.Clinical efficacy(Japanese Orthopedic Association[JOA],Visual Analog Scale[VAS]score),complications(cervical hematoma,neck swelling,dysphagia),postoperative recovery(time bedridden and postoperative hospital stay)and satisfaction were compared between the two groups at postoperative follow-up time points.Results:This study included 60 patients(24 males and 36 females)undergoing double-level ACDF,with ages ranging from 32 to 79 years and an average of(53.8±9.3)years.There were 12 males and 8 females in the group without drainage tube.The age ranged from 32 to 63 years,with an average of(51.6±8.8)years.In the drainage tube group,there were 24 males and 16 females.The age ranged from 36 to 79 years,with an average of(54.9±9.4)years.There were no significant differences in terms of age,gender,body mass index(BMI),surgical segments and surgical time between the two groups(all P＞0.05).Both groups showed significant improvements in JOA scores,the neck pain and arm pain VAS scores at each postoperative follow-up time point compared to preoperative scores(all P＜0.01).There were no significant differences in JOA scores,neck pain and arm pain VAS scores between the two groups at preoperative and postoperative follow-up time points(all P＞0.05).Neither group experienced cervical hematoma postoperatively.There were no significant differences in anterior neck soft tissue thickness or the incidence of dysphagia between the two groups at each postoperative follow-up time(all P＞0.05).Compared with the drainage tube group,patients in the no drainage tube group exhibited significantly reduced postoperative bed rest and hospital stay durations,along with significantly increased postoperative satisfaction levels(all P＜0.01).Conclusions:Postoperative absence of drainage tube in ACSS is safe and feasible,without increasing the risks for postoperative hematoma or dysphagia.It signifiicantly reduces postoperative bed rest and hospital stay durations,promoting patient recovery.
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