Surgical treatment and its related factors of cervical spondylotic myelopathy.
- Author:
Lian-shun JIA
1
;
Wen YUAN
;
Xiong-sheng CHEN
;
De-yu CHEN
;
Xiao-jian YE
;
Bin NI
;
Jian-ru XIAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Bone Plates; Cervical Vertebrae; surgery; Decompression, Surgical; Female; Follow-Up Studies; Humans; Ilium; transplantation; Male; Middle Aged; Recovery of Function; Spinal Fusion; Spinal Osteophytosis; complications; surgery; Transplantation, Autologous; Treatment Outcome
- From: Acta Academiae Medicinae Sinicae 2005;27(2):165-169
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo observe the results and its related factors of surgical treatment of cervical spondylotic myelopathy (CSM).
METHODSTotally 365 CSM patients were reviewed. All patients were treated with anterior cervical decompression and fusion with autogenous iliac bone or titanium mesh cages with local bone graft. Anterior locking plates were used for fixation. Five patients received revision surgery 3 to 6 months after the initial operation.
RESULTSClinical function was excellent in 175 patients (47.94%), good in 129 patients (35.34%), fair in 44 patients (12.05%), and poor in 17 patients (4.66%).
CONCLUSIONAnterior cervical decompresion of CSM has good clinical efficacy. The timing of operation, disease severity, and surgical technique are the important factors affecting the outcome of treatment.
