The results of surgical treatment for cervical spondylotic myelopathy
Cervical spondylotic myelopathy is th emost serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to evaluate functional results of surgical treatment of patients with cervical spondylotic myelopathy who underwent anterior or posterior decompressive operation...
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| Published in: | Acta chirurgica Iugoslavica Vol. 52; no. 1; pp. 91 - 95 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English Serbian |
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Serbia
2005
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| Abstract | Cervical spondylotic myelopathy is th emost serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to evaluate functional results of surgical treatment of patients with cervical spondylotic myelopathy who underwent anterior or posterior decompressive operations.
we prospectively analyzed 57 patients with cervical spondylotic myelopathy who were operated in Institut for Neurosurgery in Belgrade (1995-2002). The severity of myelopathy is graded by Nurick myelopathy grading system. The average foloow-up period was 20 months.
Postoperative improvement schowed 75% of patients and 21% remained unchanged. Myelopathy worsening was observed in two patients, 4%. We didn't have serious operative complications. Selection of surgical approach was not significantly correlated with surgical outcome.
surgical decompression of cervical medulla is safe treatment that gives good chances for functional recovery in patients with cervical spondylotic myelopathy. |
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| AbstractList | Cervical spondylotic myelopathy is th emost serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to evaluate functional results of surgical treatment of patients with cervical spondylotic myelopathy who underwent anterior or posterior decompressive operations.
we prospectively analyzed 57 patients with cervical spondylotic myelopathy who were operated in Institut for Neurosurgery in Belgrade (1995-2002). The severity of myelopathy is graded by Nurick myelopathy grading system. The average foloow-up period was 20 months.
Postoperative improvement schowed 75% of patients and 21% remained unchanged. Myelopathy worsening was observed in two patients, 4%. We didn't have serious operative complications. Selection of surgical approach was not significantly correlated with surgical outcome.
surgical decompression of cervical medulla is safe treatment that gives good chances for functional recovery in patients with cervical spondylotic myelopathy. OBJECTIVECervical spondylotic myelopathy is th emost serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to evaluate functional results of surgical treatment of patients with cervical spondylotic myelopathy who underwent anterior or posterior decompressive operations. METHODSwe prospectively analyzed 57 patients with cervical spondylotic myelopathy who were operated in Institut for Neurosurgery in Belgrade (1995-2002). The severity of myelopathy is graded by Nurick myelopathy grading system. The average foloow-up period was 20 months. RESULTSPostoperative improvement schowed 75% of patients and 21% remained unchanged. Myelopathy worsening was observed in two patients, 4%. We didn't have serious operative complications. Selection of surgical approach was not significantly correlated with surgical outcome. CONCLUSIONsurgical decompression of cervical medulla is safe treatment that gives good chances for functional recovery in patients with cervical spondylotic myelopathy. Objective: Cervical spondylotic myelopathy is the most serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to evaluate functional results of surgical treatment of patients with cervical spondylotic myelopathy who underwent anterior or posterior decompressive operations. Methods: we prospectively analyzed 57 patients with cervical spondylotic myelopathy who were operated in Institute for Neurosurgery in Belgrade (1995-2002). The severity of myelopathy is graded by Nurick myelopathy grading system. The average follow-up period was 20 months. Results: Postoperative improvement showed 75% of patients and 21% remained unchanged. Myelopathy worsening was observed in two patients, 4%. We didn't have serious operative complications. Selection of surgical approach was not significantly correlated with surgical outcome. Conclusion: surgical decompression of cervical medulla is safe treatment that gives good chances for functional recovery in patients with cervical spondylotic myelopathy. Cervikalna spondiloticna mijelopatija (CSM) je najozbiljnija posledica degenerativnih promena koje zahvataju cervikalnu kicmu. Cilj ove studije je da se odrede funkcionalni rezultati hirurskog tretmana bolesnika sa CSM koji su bili podvrgnuti prednjoj ili zadnjoj dekompresiji kicmene mozdine. Prospektivno je analizirano 57 bolesnika sa CSM koji su operisani u Institutu za neurohirurgiju u Beogradu, 1995-2002. Intenzitet mijelopatije pre i postopertivno je procenjivan na osnovu Nurick-ove skale mijelopatije. Prosecan period postoperativnog pracenja bio je 20 meseci. Postoperativno neurolosko poboljsanje je pokazalo 75% bolesnika dok je 21% bilo nepromenjeno. Postoperativno pogorsanje mijelopatije bilo je kod 2 bolesnika (4%). Nije bilo ozbiljnih operativnih komplikacija. Izbor hirurskog pristupa nije znacajno uticao na ishod operacije. Hirurska dekompresija kicmene mozdine predstavlja bezbedan terapijski metod koji omogucava dobar funkcionalni oporavak kod bolesnika sa CSM. |
| Author | Tasić, G Radulović, D Joković, M Ivanović, S |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16119320$$D View this record in MEDLINE/PubMed |
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| Snippet | Cervical spondylotic myelopathy is th emost serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to evaluate... Objective: Cervical spondylotic myelopathy is the most serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to... OBJECTIVECervical spondylotic myelopathy is th emost serious consequence of cervical intervertebral disc degeneration. The purpose of this study is to evaluate... |
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| SubjectTerms | Adult Cervical Vertebrae Decompression, Surgical Female Humans Male Middle Aged Spinal Cord Compression - etiology Spinal Cord Compression - surgery Spinal Osteophytosis - complications Spinal Osteophytosis - surgery Treatment Outcome |
| Title | The results of surgical treatment for cervical spondylotic myelopathy |
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