الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
In this thesis 30 patients with degenerative cervical disc
disease were admitted in the Neurosurgery department,
Menoufia University hospital and Alexandria Police hospital
where they were managed and classified into two groups. First
group treated with anterior cervical discectomy and dynamic
cervical implant. Second group treated with anterior cervical
discectomy and cervical cage fusion.
All patients were subjected to clinical examination
according to the neurological sheet applied in this study.
The mean age of our patients was 42 years in DCI group
and 44 years in cervical cage fusion group. The vast majority
of cases in DCI group (60.0% of cases) were in the age group
between 40 to 50 years and in cervical cage fusion group the
vast majority of cases (73.0% of cases) were in the age group
between 40 to 50 years.
In DCI group female represented 53.3% of cases and male
represented 46.7% of cases. In cervical cage fusion group
female represented 60.0% of cases and male represented 40.0%
of cases.
The median duration of symptoms was 4 months in DCI
and 9 months in cervical cage fusion group. Duration of
symptoms was statistically significant factor for prognosis.
Patients with shorter duration of symptoms had better
prognosis.
Neck pain was the main presenting symptom in all
patients in both groups. In DCI group pain along the
distribution of the affected nerve root (radiculopathy) occurred
in 66.7% of cases, Difficulty in fine hand movements,
heaviness in lower limbs, gait disturbance, sphincter
disturbances (myelopathy) in 20.0% of cases, both
radiculopathy and myelopathy in 13.3% of cases.
Motor examination in DCI group showed no weakness in
53.3% of cases, weakness along affected nerve root in 13.3%
of cases, hemiparesis in 13.3% of cases, quadriparesis in 13.3%
of cases and biparesis in 6.7% of cases. Motor examination was
statistically significant factor affecting prognosis. Patients
without motor weakness had better prognosis. In cervical cage
fusion group motor examination showed no weakness in 46.7%
of cases, weakness along affected nerve root in 13.3% of cases,
hemiparesis in 6.7% of cases, quadriparesis in 26.7% of cases
and biparesis in 6.7% of cases.
Sensory examination in DCI group showed no sensory
loss in 53.3% of cases and sensory loss ranged from
hypoesthesia to complete sensory loss in 46.7% of cases. In
cervical cage fusion group sensory examination showed no
sensory loss in 60.0% of cases and sensory loss ranged from
hypoesthesia to complete sensory loss in 40.0% of cases.
Sensory examination was statistically significant factor for
prognosis in cervical cage fusion group. Patients without
sensory loss had better prognosis.