Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy

Introduction: cervical spondylotic myelopathy is a common disease, which accounts for a quarter of all upper-limb paresthesia. Anterior graft discectomy is one of the most widely used surgical techniques in the world to treat this disease. Objective: to characterize patients with cervical spondylot...

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Main Authors: Juan Pablo Carballido Sánchez, Shirley de las Mercedes Fuentes Salomón, Aracelis Salomón Vila
Format: Article
Language:English
Published: Universidad de Ciencias Médicas de Pinar del Río 2020-06-01
Series:Universidad Médica Pinareña
Subjects:
Online Access:http://www.revgaleno.sld.cu/index.php/ump/article/view/517
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author Juan Pablo Carballido Sánchez
Shirley de las Mercedes Fuentes Salomón
Aracelis Salomón Vila
author_facet Juan Pablo Carballido Sánchez
Shirley de las Mercedes Fuentes Salomón
Aracelis Salomón Vila
author_sort Juan Pablo Carballido Sánchez
collection DOAJ
description Introduction: cervical spondylotic myelopathy is a common disease, which accounts for a quarter of all upper-limb paresthesia. Anterior graft discectomy is one of the most widely used surgical techniques in the world to treat this disease. Objective: to characterize patients with cervical spondylotic myelopathy who underwent surgery using the anterior discectomy with graft technique. Methods: a retrospective, descriptive, longitudinal study was conducted in 35 patients with cervical spondylotic myelopathy who underwent surgery using the anterior graft discectomy technique at “Lucia Iñiguez Landín” Clinical Surgical Teaching Hospital from January 2017 to December 2019. The variables studied were: age, sex, race, personal pathological history, signs and symptoms (before the surgery), cervical level affected, sequelae and complications. Results: male patients predominated (59,9 %), with ages between 45 and 60 years (45,71 %) and with personal pathological history of obesity (40 %). The prevailing clinical manifestations before surgery were hyperreflexia (65,71 %) and paresthesia (62,85 %). The most affected cervical segment was C5-C7 (91,42 %). The main complications were generalized hyperreflexia (17,14 %) and pain (8,57 %). Conclusions: patients with cervical spondylotic myelopathy surgically treated by the anterior discectomy with graft technique were mostly male, in ages after the fourth decade of life. Patients presented hyperreflexia before the surgery, and could develop generalized hyperreflexia as a complication.
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spelling doaj.art-fa25c8da042d46fe93074419df54ef552023-09-02T23:29:11ZengUniversidad de Ciencias Médicas de Pinar del RíoUniversidad Médica Pinareña1990-79902020-06-01163e517e517486Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomyJuan Pablo Carballido Sánchez0Shirley de las Mercedes Fuentes Salomón1Aracelis Salomón Vila2Universidad de Ciencias Médicas de Holguín. Facultad de Ciencias Médicas Mariana Grajales Coello. HolguínUniversidad de Ciencias Médicas de Holguín. Facultad de Ciencias Médicas Mariana Grajales Coello. HolguínUniversidad de Ciencias Médicas de Holguín. Hospital Clínico Quirúrgico Docente “Lucía Iñiguez Landín”. HolguínIntroduction: cervical spondylotic myelopathy is a common disease, which accounts for a quarter of all upper-limb paresthesia. Anterior graft discectomy is one of the most widely used surgical techniques in the world to treat this disease. Objective: to characterize patients with cervical spondylotic myelopathy who underwent surgery using the anterior discectomy with graft technique. Methods: a retrospective, descriptive, longitudinal study was conducted in 35 patients with cervical spondylotic myelopathy who underwent surgery using the anterior graft discectomy technique at “Lucia Iñiguez Landín” Clinical Surgical Teaching Hospital from January 2017 to December 2019. The variables studied were: age, sex, race, personal pathological history, signs and symptoms (before the surgery), cervical level affected, sequelae and complications. Results: male patients predominated (59,9 %), with ages between 45 and 60 years (45,71 %) and with personal pathological history of obesity (40 %). The prevailing clinical manifestations before surgery were hyperreflexia (65,71 %) and paresthesia (62,85 %). The most affected cervical segment was C5-C7 (91,42 %). The main complications were generalized hyperreflexia (17,14 %) and pain (8,57 %). Conclusions: patients with cervical spondylotic myelopathy surgically treated by the anterior discectomy with graft technique were mostly male, in ages after the fourth decade of life. Patients presented hyperreflexia before the surgery, and could develop generalized hyperreflexia as a complication.http://www.revgaleno.sld.cu/index.php/ump/article/view/517hiperreflexiaintervención quirúrgicamielopatía
spellingShingle Juan Pablo Carballido Sánchez
Shirley de las Mercedes Fuentes Salomón
Aracelis Salomón Vila
Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy
Universidad Médica Pinareña
hiperreflexia
intervención quirúrgica
mielopatía
title Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy
title_full Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy
title_fullStr Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy
title_full_unstemmed Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy
title_short Characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy
title_sort characterization of patients with cervical spondylotic myelopathy surgically treated by anterior discectomy
topic hiperreflexia
intervención quirúrgica
mielopatía
url http://www.revgaleno.sld.cu/index.php/ump/article/view/517
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