Cargando…

Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients

BACKGROUND: There are a number of surgical treatment options for cervical spondylotic myelopathy (CSM). In this study, the authors present their clinical results with cervical laminectomy and fusion for the treatment of patients with CSM. METHODS: This retrospective study included 58 consecutive pat...

Descripción completa

Detalles Bibliográficos
Autores principales: Chang, Victor, Lu, Daniel C., Hoffman, Haydn, Buchanan, Colin, Holly, Langston T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023005/
https://www.ncbi.nlm.nih.gov/pubmed/24843810
http://dx.doi.org/10.4103/2152-7806.130670
_version_ 1782316490015375360
author Chang, Victor
Lu, Daniel C.
Hoffman, Haydn
Buchanan, Colin
Holly, Langston T.
author_facet Chang, Victor
Lu, Daniel C.
Hoffman, Haydn
Buchanan, Colin
Holly, Langston T.
author_sort Chang, Victor
collection PubMed
description BACKGROUND: There are a number of surgical treatment options for cervical spondylotic myelopathy (CSM). In this study, the authors present their clinical results with cervical laminectomy and fusion for the treatment of patients with CSM. METHODS: This retrospective study included 58 consecutive patients who underwent cervical laminectomy and fusion for CSM. There were 38 males and 20 females, with a mean age of 64 (range 42-92) years. The Japanese orthopedic association score (mJOA) scale was used as the functional outcome measurement. Both the absolute increase in mJOA and the neurological recovery rate of mJOA were analyzed. The mean clinical follow-up was 17 months (range 5-52 months). RESULTS: There was a statistically significant improvement between mean preoperative (13.2, range 7-17) and postoperative (16.1, range 11-18) mJOA scores following surgery. The average improvement in mJOA score was 2.9 points. The mean neurological recovery rate was 56.6%. Overall 85.5% of patients improved with surgery (n = 51) and the remaining 14.5% of patients had no change in their mJOA score after surgery (n = 7). Fusion was documented in all 58 patients. There was a 10.3% overall complication rate (n = 6). The most common complications were C5 nerve palsies which occurred in 6.9% of the cohort (n = 4); all completely resolved. CONCLUSION: Cervical laminectomy and fusion is a safe and efficacious procedure for the treatment of CSM. The clinical outcomes appear to be quite reproducible, and this technique is an important part of a spine surgeon's armamentarium.
format Online
Article
Text
id pubmed-4023005
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-40230052014-05-19 Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients Chang, Victor Lu, Daniel C. Hoffman, Haydn Buchanan, Colin Holly, Langston T. Surg Neurol Int Surgical Neurology International: Spine BACKGROUND: There are a number of surgical treatment options for cervical spondylotic myelopathy (CSM). In this study, the authors present their clinical results with cervical laminectomy and fusion for the treatment of patients with CSM. METHODS: This retrospective study included 58 consecutive patients who underwent cervical laminectomy and fusion for CSM. There were 38 males and 20 females, with a mean age of 64 (range 42-92) years. The Japanese orthopedic association score (mJOA) scale was used as the functional outcome measurement. Both the absolute increase in mJOA and the neurological recovery rate of mJOA were analyzed. The mean clinical follow-up was 17 months (range 5-52 months). RESULTS: There was a statistically significant improvement between mean preoperative (13.2, range 7-17) and postoperative (16.1, range 11-18) mJOA scores following surgery. The average improvement in mJOA score was 2.9 points. The mean neurological recovery rate was 56.6%. Overall 85.5% of patients improved with surgery (n = 51) and the remaining 14.5% of patients had no change in their mJOA score after surgery (n = 7). Fusion was documented in all 58 patients. There was a 10.3% overall complication rate (n = 6). The most common complications were C5 nerve palsies which occurred in 6.9% of the cohort (n = 4); all completely resolved. CONCLUSION: Cervical laminectomy and fusion is a safe and efficacious procedure for the treatment of CSM. The clinical outcomes appear to be quite reproducible, and this technique is an important part of a spine surgeon's armamentarium. Medknow Publications & Media Pvt Ltd 2014-04-16 /pmc/articles/PMC4023005/ /pubmed/24843810 http://dx.doi.org/10.4103/2152-7806.130670 Text en Copyright: © 2014 Chang V http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
spellingShingle Surgical Neurology International: Spine
Chang, Victor
Lu, Daniel C.
Hoffman, Haydn
Buchanan, Colin
Holly, Langston T.
Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients
title Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients
title_full Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients
title_fullStr Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients
title_full_unstemmed Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients
title_short Clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients
title_sort clinical results of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy in 58 consecutive patients
topic Surgical Neurology International: Spine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023005/
https://www.ncbi.nlm.nih.gov/pubmed/24843810
http://dx.doi.org/10.4103/2152-7806.130670
work_keys_str_mv AT changvictor clinicalresultsofcervicallaminectomyandfusionforthetreatmentofcervicalspondyloticmyelopathyin58consecutivepatients
AT ludanielc clinicalresultsofcervicallaminectomyandfusionforthetreatmentofcervicalspondyloticmyelopathyin58consecutivepatients
AT hoffmanhaydn clinicalresultsofcervicallaminectomyandfusionforthetreatmentofcervicalspondyloticmyelopathyin58consecutivepatients
AT buchanancolin clinicalresultsofcervicallaminectomyandfusionforthetreatmentofcervicalspondyloticmyelopathyin58consecutivepatients
AT hollylangstont clinicalresultsofcervicallaminectomyandfusionforthetreatmentofcervicalspondyloticmyelopathyin58consecutivepatients