Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery

Background:Degenerative cervical disc disease is a common condition that pepole develop symptoms gradually, they can be easily grouped into axial neck pain, radiculopathy, and myelopathy Surgery is performed to decompress the spinal cord. While imaging are used in the perioperative spinal cord decompression including computed tomography (CT) scan, magnetic resonance imaging (MRI) and ultrasound (US) usage is relatively new. US is a simple, safe, rapid, non-invasive, and inexpensive modality that constitutes a potential alternative when other modalities are not suitable or unavailable.Purpose: The purpose of this study was to report the ability of ultrasound to assess the cervical spinal canal diameter for efficacy of discectomy. Patient Sample: 30 patients will be enrolled in this study. All patients complained of cervical spinal canal stenosis symptoms. Outcome Measures: Patients were assessed pre-operative & post-operative clinically & by US.Methods: It consists of a prospectively collected consecutive series of 30 patients with cervical disc disease who met inclusion criteria between July 2018 and April 2019 with last follow up May 2020. They were selected for anterior cervical decompression discectomy then measuring the canal diameter by US done in Helmya Hospital, Cairo, Egypt. The study include 15 males and 15 females with mean age 38 years.Results: There was statistically significant relation between preoperative US & MRI (P<0.01), There was statistically significant variation between pre-operative & post-operative US (P<0.05), VAS significantly improved postoperatively (P<0

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