FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY
ABSTRACT Objective: To analyze the functional outcome of surgical treatment of cervical spondylotic myelopathy. Methods: A retrospective study involving 34 patients with CSM, operated from January 2014 to June 2015. The neurological status was assessed using the Nurick and modified Japanese Orthop...
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Sociedade Brasileira de Coluna (SBC)
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| Series: | Coluna/Columna |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000200101&lng=en&tlng=en |
| _version_ | 1819026498002092032 |
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| author | MARVIN JESUALDO VARGAS UH AMADO GONZÁLEZ MOGA HUGO SANTOS BENITEZ GABRIEL HUERTA HERNANDEZ JUAN ENRIQUE GUZMÁN CARRANZA |
| author_facet | MARVIN JESUALDO VARGAS UH AMADO GONZÁLEZ MOGA HUGO SANTOS BENITEZ GABRIEL HUERTA HERNANDEZ JUAN ENRIQUE GUZMÁN CARRANZA |
| author_sort | MARVIN JESUALDO VARGAS UH |
| collection | DOAJ |
| description | ABSTRACT Objective: To analyze the functional outcome of surgical treatment of cervical spondylotic myelopathy. Methods: A retrospective study involving 34 patients with CSM, operated from January 2014 to June 2015. The neurological status was assessed using the Nurick and modified Japanese Orthopedic Association (mJOA) scales preoperatively and at 12 months. Sex, age, time of evolution, affected cervical levels, surgical approach and T2-weighted magnetic resonance hyperintense signal were also evaluated. Results: A total of 14 men and 20 women participated. The mean age was 58.12 years. The average progression time was 12.38 months. The preoperative neurological state by mJOA was mild in 2 patients, moderate in 16 and severe in 16, with a mean of 11.44 points. The preoperative Nurick was grade II in 14 patients, grade III in 8, grade IV in 10 and grade V in 2. The T2-weighted hyperintense signal was documented in 18 patients (52.9%). The functional outcome according to the mJOA recovery rate was good in 15 patients (44.1%) and poor in 19 (55.9%). The degree of Nurick recovery was good in 20 (58.8%) and poor in 14 (41.2%). Conclusions: Decompressive surgery of the spinal cord has been shown to be effective in the treatment of cervical spondylotic myelopathy in well-selected patients. Although it is suggested that there are certain factors that correlate with functional outcome, we believe that more prospective randomized studies should be conducted to clarify this hypothesis. |
| first_indexed | 2024-12-21T05:27:31Z |
| format | Article |
| id | doaj.art-35731d2f1b004b929dd2139e4cc3007f |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-21T05:27:31Z |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-35731d2f1b004b929dd2139e4cc3007f2022-12-21T19:14:38ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X16210110510.1590/s1808-185120171602172279S1808-18512017000200101FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHYMARVIN JESUALDO VARGAS UHAMADO GONZÁLEZ MOGAHUGO SANTOS BENITEZGABRIEL HUERTA HERNANDEZJUAN ENRIQUE GUZMÁN CARRANZAABSTRACT Objective: To analyze the functional outcome of surgical treatment of cervical spondylotic myelopathy. Methods: A retrospective study involving 34 patients with CSM, operated from January 2014 to June 2015. The neurological status was assessed using the Nurick and modified Japanese Orthopedic Association (mJOA) scales preoperatively and at 12 months. Sex, age, time of evolution, affected cervical levels, surgical approach and T2-weighted magnetic resonance hyperintense signal were also evaluated. Results: A total of 14 men and 20 women participated. The mean age was 58.12 years. The average progression time was 12.38 months. The preoperative neurological state by mJOA was mild in 2 patients, moderate in 16 and severe in 16, with a mean of 11.44 points. The preoperative Nurick was grade II in 14 patients, grade III in 8, grade IV in 10 and grade V in 2. The T2-weighted hyperintense signal was documented in 18 patients (52.9%). The functional outcome according to the mJOA recovery rate was good in 15 patients (44.1%) and poor in 19 (55.9%). The degree of Nurick recovery was good in 20 (58.8%) and poor in 14 (41.2%). Conclusions: Decompressive surgery of the spinal cord has been shown to be effective in the treatment of cervical spondylotic myelopathy in well-selected patients. Although it is suggested that there are certain factors that correlate with functional outcome, we believe that more prospective randomized studies should be conducted to clarify this hypothesis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000200101&lng=en&tlng=enSpinal cord compressionCervical spondylosisMyelopathyDecompression surgical. |
| spellingShingle | MARVIN JESUALDO VARGAS UH AMADO GONZÁLEZ MOGA HUGO SANTOS BENITEZ GABRIEL HUERTA HERNANDEZ JUAN ENRIQUE GUZMÁN CARRANZA FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY Coluna/Columna Spinal cord compression Cervical spondylosis Myelopathy Decompression surgical. |
| title | FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY |
| title_full | FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY |
| title_fullStr | FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY |
| title_full_unstemmed | FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY |
| title_short | FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY |
| title_sort | functional results of surgical treatment of cervical spondylotic myelopathy |
| topic | Spinal cord compression Cervical spondylosis Myelopathy Decompression surgical. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000200101&lng=en&tlng=en |
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