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Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders
STUDY DESIGN: Prospective study conducted at Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India. PURPOSE: To show the efficacy of decompression in the late presentation of cervical spinal cord disorders. OVERVIEW OF LITERATURE: Studies by various authors have...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Spine Surgery
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996343/ https://www.ncbi.nlm.nih.gov/pubmed/24761201 http://dx.doi.org/10.4184/asj.2014.8.2.183 |
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author | Shrivastava, Sandeep Sakale, Harshal Dulani, Rajesh Singh, Pradeep K Sanrakhia, Manoj |
author_facet | Shrivastava, Sandeep Sakale, Harshal Dulani, Rajesh Singh, Pradeep K Sanrakhia, Manoj |
author_sort | Shrivastava, Sandeep |
collection | PubMed |
description | STUDY DESIGN: Prospective study conducted at Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India. PURPOSE: To show the efficacy of decompression in the late presentation of cervical spinal cord disorders. OVERVIEW OF LITERATURE: Studies by various authors have shown that early spinal decompression results in better neurological outcomes. METHODS: From January 2003 to January 2005, 11 of the 41 patients with cervical spinal cord compression, meeting the inclusion criteria, underwent anterior decompression; interbody graft placement and stabilization by anterior cervical locking plate. The neurologic and functional outcomes were recorded. RESULTS: Five patients had spinal cord injury and 6 patients had compressive cervical myelopathy. Complications included 1 death and 1 plate loosening. No patient lost their preoperative neurological status. One patient had no improvement, 2 patients showed full recovery. The mean follow-up is 28.3 month. At the of rehabilitation, 6 were able to walk without support), 2 could walk with support, and 1 needed a wheelchair. The average American Spinal Injury Association motor score on admission to the hospital, 32.8 (standard deviation [SD], 30.5); admission to rehabilitation, 38.6 (SD, 32.4); discharge from rehabilitation, 46.2 (SD, 33.7). The most recent follow-up was 64.0 (SD, 35.3). CONCLUSIONS: The anterior approach for cervical decompression allows for adequate decompression. This decompression is the best chance offered in even late reported cases, including posttraumatic cases where there is no evidence of cord transactions. The use of anterior cervical plates reduces the chances of graft loosening, extruding, or collapsing. |
format | Online Article Text |
id | pubmed-3996343 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-39963432014-04-23 Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders Shrivastava, Sandeep Sakale, Harshal Dulani, Rajesh Singh, Pradeep K Sanrakhia, Manoj Asian Spine J Clinical Study STUDY DESIGN: Prospective study conducted at Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India. PURPOSE: To show the efficacy of decompression in the late presentation of cervical spinal cord disorders. OVERVIEW OF LITERATURE: Studies by various authors have shown that early spinal decompression results in better neurological outcomes. METHODS: From January 2003 to January 2005, 11 of the 41 patients with cervical spinal cord compression, meeting the inclusion criteria, underwent anterior decompression; interbody graft placement and stabilization by anterior cervical locking plate. The neurologic and functional outcomes were recorded. RESULTS: Five patients had spinal cord injury and 6 patients had compressive cervical myelopathy. Complications included 1 death and 1 plate loosening. No patient lost their preoperative neurological status. One patient had no improvement, 2 patients showed full recovery. The mean follow-up is 28.3 month. At the of rehabilitation, 6 were able to walk without support), 2 could walk with support, and 1 needed a wheelchair. The average American Spinal Injury Association motor score on admission to the hospital, 32.8 (standard deviation [SD], 30.5); admission to rehabilitation, 38.6 (SD, 32.4); discharge from rehabilitation, 46.2 (SD, 33.7). The most recent follow-up was 64.0 (SD, 35.3). CONCLUSIONS: The anterior approach for cervical decompression allows for adequate decompression. This decompression is the best chance offered in even late reported cases, including posttraumatic cases where there is no evidence of cord transactions. The use of anterior cervical plates reduces the chances of graft loosening, extruding, or collapsing. Korean Society of Spine Surgery 2014-04 2014-04-08 /pmc/articles/PMC3996343/ /pubmed/24761201 http://dx.doi.org/10.4184/asj.2014.8.2.183 Text en Copyright © 2014 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Shrivastava, Sandeep Sakale, Harshal Dulani, Rajesh Singh, Pradeep K Sanrakhia, Manoj Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders |
title | Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders |
title_full | Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders |
title_fullStr | Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders |
title_full_unstemmed | Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders |
title_short | Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders |
title_sort | role of decompression in late presentation of cervical spinal cord disorders |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996343/ https://www.ncbi.nlm.nih.gov/pubmed/24761201 http://dx.doi.org/10.4184/asj.2014.8.2.183 |
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