Observation of the effect of multilevel anterior discectomy and fusion for aged patients with cervical spondylotic myelopathy

VernacularTitle:前路经椎间隙减压植骨融合术治疗老年人多节段脊髓型颈椎病的疗效观察
Author: Jun WANG ; Yuqin LIU ; Hongxin ZHU ; Dalei SHI ; Liping QIU ; Cuiping LI ; Lei YANG
Publication Type:Journal Article
Keywords: Cervical spondylosic; Decompression,surgical; Spinal fusion; Aged
From: Chinese Journal of Primary Medicine and Pharmacy 2011;18(5):622-623
CountryChina
Language:Chinese
Abstract: Objective To explore the efficacy of multilevel anterior cervical discectomy and fusion for aged patients with cervical spondylotic myelopathy. Methods 25 aged patients with cervical spondylotic myelopathy were treated by multilevel anterior cervical discectomy and fusion. Japanese Orthopedic Association (JOA) scores were evaluated,clinical results were graded from excellent to poor using Odoms criteria,and the sagittal alignment of fusion segements were measured using Cobb method. Bone fusion and complications was evaluated. Results The final follow up score according to Odoms criteria was excellent in 8 patients ,good in 14 patients,and fair in 3 patients ,with excellent and good rate of 88%. The JOA score at final follow up(7.8) was significantly higher than preoperative(12. 8),with average improvement rate of 54%. At final follow up,bone fusion rate was 100%. Conclusion Multilevel anterior discectomy and fusion for aged patients with cervical spondylotic myelopathy was effective.