Clinical Results of Surgical Treatment Through Anterior and Posterior Approach for Cervical Spondylotic Myelopathy
- VernacularTitle:脊髓型颈椎病经前后路减压术的临床效果
- Author:
Guoping CHEN
;
Tianlu HONG
;
Yucai FENG
;
Al ET
;
- Publication Type:Journal Article
- Keywords:
Cervical spondylosis;
Decompression;
Spinal fusion;
Treatment outcome
- From:
Journal of Medical Research
2006;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical outcome of cervical spondylotic myelopathy. Methods Twenty -five patients (14 males and 11 females) with cervical spondylotic myelopathy who underwent operative treatment between 2004 and 2007 in our hospital were included in this study. The mean duration of symptoms was 31 months (ranging from 8 days to 10 years) . The follow - up period ranged from 18 months to 4 years (mean 30 months). The study comprised 6 posterior decompression (laminoplasty) and 17 anterior cervical discectomy with fusion and anterior locking plate systems. 2 patients with severe cervical spondylotic myelopathy were treated by operation of the combining anterior and posterior. Results According to COA, the recovery (improving) rate among the tolal patients was classified as exellent in 20 cases, good in 3 cases, fair in 2 cases. The excellend and good rate was 92% . Conculusion Both anterior and posterior surgery were effective for cervical spondylotic myelopathy with effective decompression according to the location of abnormality.