Cervical spondylotic myelopathy treated by oblique corpectomy: A prospective study
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Oxford Univ Press Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
OBJECTIVE: Anterolateral partial oblique corpectomy (OC) aims to decompress the cervical spinal cord without subsequent fusion and saves the patient from graft-, instrument-, and fusion-related complications. Although it is a promising technique, there are few studies dealing with its efficacy and safety. METHODS: In this prospective study, 40 consecutive patients underwent an OC (one to four levels from C3 to C7) for cervical spondylotic myelopathy; they ranged in age from 43 to 78 years (mean, 55 yr). The average follow-up period was 59 months (range, 24-98 mo). Clinical and radiological data were analyzed to assess the results and find possible factors related to outcomes. RESULTS: Thirty-seven (92.5%) of the 40 patients improved by the 6-month follow-up examination according to the Japanese Orthopedic Association score. The improvement was the most prominent in lower extremity dysfunction. Recovery was positively correlated with the preoperative Japanese Orthopedic Association score (r = 0.37, P = 0.018). Permanent Horner's syndrome developed in four patients (10%). During the long-term follow-up period, neurological improvement was maintained and there were no signs of postoperative instability, posture change, or axial pain. CONCLUSION: OC for treating multilevel cervical spondylotic myelopathy achieved good results with a low morbidity rate. The results of the current study suggest that OC is a good alternative to conventional median corpectomy and fusion techniques in selected cases.
Açıklama
13th World Congress of Neurological Surgery -- JUN 19-24, 2005 -- Marrakech, MOROCCO
Anahtar Kelimeler
Cervical Radiculopathy, Cervical Vertebrae, Compressive Myelopathy, Horner's Syndrome, Spondylosis, Surgery, Microsurgical Decompression, Anterior, Fusion, Ossification, Spondylectomy, Vertebrectomy, Compression, Surgery
Kaynak
Neurosurgery
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
62
Sayı
3
