Skip to content
DraconiticResearch
Search Sources API
203,203 studies31 sourcesUpdated 36 min ago
Peer-reviewedCC BY-NC-SASurgical neurology international

Short-term outcomes after anterior cervical discectomy and fusion using mJOA and NDI scores in a low- and middle-income country.

  • Sayan Biswas1
  • Saskia Swannack2
  • Samuel Wiltshire2
  • Sandip Chatterjee3
  • K Joshi George4
4 affiliations
  1. 1Specialized Foundation Doctor Training Programme, Edge Hill University, Ormskirk, United Kingdom.
  2. 2Department of Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, Lancashire, Preston, United Kingdom.
  3. 3Department of Neurosurgery, Park Clinic, Kolkata, West Bengal, India.
  4. 4Department of Neurosurgery, University of Manchester, Manchester, United Kingdom.
Read full textPDFDOICite

Abstract

Background

Postoperative recovery following anterior cervical discectomy and fusion (ACDF) is commonly evaluated using the modified Japanese Orthopaedic Association (mJOA) score and/or neck disability index (NDI). Here, we examined the post-operative trends in mJOA and NDI outcomes following ACDF in a neurosurgical center located in a low- and middle-income country (LMIC).Methods

Twenty-three demographic and clinical variables were collected. The primary outcome was good prognosis at 6 months, defined as a ≥50% change in post-operative mJOA. Secondary outcomes included minimum clinically important difference (MCID) in mJOA (≥2-point improvement) and NDI (≥7-point reduction). Patients averaged 54 years and were predominantly male (77.5%) undergoing single-level ACDF (67.5%).Results

Median mJOA improved from 8 pre-operatively to 13 at 6 months and 15.5 at 1 postoperative year. MCID for mJOA was achieved in 84.8% of patients at 6 months and 90% at 1 year. Median NDI decreased from 25 pre-operatively to 17 at 6 months and 15 at 1 year. MCID was achieved in 66.7% and 85% at these two latter time intervals, respectively. Multilevel disease and gait disturbance were both negative prognostic factors at 6 postoperative months.Conclusion

In a LMIC neurosurgical setting, ACDF was associated with sustained improvements in mJOA and NDI scores.

Related

  1. Outcomes after anterior cervical discectomy and fusion for presumed segmental dysfunction-related neck pain: a Swedish nationwide registry study.
    Ahmed Haydar Sameer, Zehra Nazar, Victor Gabriel El-Hajj +4
    Acta neurochirurgicaPeer-reviewedCC BYFull textSurgery & anaesthesiaEurope PMCDOAJ
  2. A prospective comparative study of outcomes between zero-profile 3D-printed interbody cages and plate-augmented cages in anterior cervical discectomy and fusion
    Yuwei Li, Xiuzhi Li, Bowen Li +3
    Scientific ReportsPeer-reviewedCC BYFull textSurgery & anaesthesiaDOAJ
  3. Long-Term Risk of Reoperation after Hybrid Cervical Surgery with One-Level Anterior Cervical Corpectomy and Fusion versus Multilevel Anterior Cervical Discectomy and Fusion: A Retrospective Cohort Study
    Anthony N. Baumann, Robert J. Trager, Omkar S. Anaspure +3
    Spine surgery and related researchPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaEurope PMC
  4. Anterior Cervical Discectomy and Fusion Versus Cervical Disc Arthroplasty for Cervical Degenerative Disc Disease: Alarming Rates of Bias.
    Joshua Davood, Henry Avetisian, Daniel Rusu +12
    Global spine journalPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaEurope PMCPMC
  5. Clinical efficacy and sagittal alignment restoration of unilateral biportal endoscopic-assisted anterior cervical discectomy and fusion for cervical spondylosis: a retrospective comparative study.
    Junyi He, Haiguang Long, Gejin Wei +4
    BMC musculoskeletal disordersPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaEurope PMCDOAJ

Cite

BibTeXRIS
BibTeX
@article{biswas2026shortterm,
  title = {{Short-term outcomes after anterior cervical discectomy and fusion using mJOA and NDI scores in a low- and middle-income country.}},
  author = {Sayan Biswas and Saskia Swannack and Samuel Wiltshire and Sandip Chatterjee and K Joshi George},
  journal = {Surgical neurology international},
  year = {2026},
  month = oct,
  doi = {10.25259/sni_642_2026},
  url = {https://europepmc.org/article/MED/42974543},
  note = {CC BY-NC-SA},
}
RIS
TY  - JOUR
TI  - Short-term outcomes after anterior cervical discectomy and fusion using mJOA and NDI scores in a low- and middle-income country.
AU  - Sayan Biswas
AU  - Saskia Swannack
AU  - Samuel Wiltshire
AU  - Sandip Chatterjee
AU  - K Joshi George
PY  - 2026
DA  - 2026/10/30
JO  - Surgical neurology international
DO  - 10.25259/sni_642_2026
UR  - https://europepmc.org/article/MED/42974543
AB  - Background  Postoperative recovery following anterior cervical discectomy and fusion (ACDF) is commonly evaluated using the modified Japanese Orthopaedic Association (mJOA) score and/or neck disability index (NDI). Here, we examined the post-operative trends in mJOA and NDI outcomes following ACDF in a neurosurgical center located in a low- and middle-income country (LMIC).Methods  Twenty-three demographic and clinical variables were collected. The primary outcome was good prognosis at 6 months, defined as a ≥50% change in post-operative mJOA. Secondary outcomes included minimum clinically important difference (MCID) in mJOA (≥2-point improvement) and NDI (≥7-point reduction). Patients averaged 54 years and were predominantly male (77.5%) undergoing single-level ACDF (67.5%).Results  Median mJOA improved from 8 pre-operatively to 13 at 6 months and 15.5 at 1 postoperative year. MCID for mJOA was achieved in 84.8% of patients at 6 months and 90% at 1 year. Median NDI decreased from 25 pre-operatively to 17 at 6 months and 15 at 1 year. MCID was achieved in 66.7% and 85% at these two latter time intervals, respectively. Multilevel disease and gait disturbance were both negative prognostic factors at 6 postoperative months.Conclusion  In a LMIC neurosurgical setting, ACDF was associated with sustained improvements in mJOA and NDI scores.
SN  - 2229-5097
SN  - 2152-7806
ER  -