Bibliographic Details
| Title: |
Study on Surgical Outcome of Anterior Cervical Approach in Cervical Compressive Myelopathy. |
| Authors: |
Krishna, V. Gopi1, Shaik, Vali Babu1, Dheeraj, Jonnalagadda V. V. N.2 |
| Source: |
European Journal of Cardiovascular Medicine. 2024, Vol. 14 Issue 1, p596-605. 10p. |
| Subject Terms: |
*CERVICAL spondylotic myelopathy, *SPINAL cord diseases, *OLDER patients |
| Abstract: |
Background: The aim of our study is to analyze the incidence, pathophysiology, clinical features and various treatment options for cervical compressive myelopathy. Predicting the surgical outcome in anterior cervical approach in cervical compressive myelopathy. Materials and methods: Our study is a prospective study comprising of 70 cases studied over a period in all cases of cervical spondylotic myelopathy with anterior compression. All these patients were decompressed or approached anteriorly either by Discectomy i.e., ACD with Fusion or Corpectomy and fusion followed by fixation with cervical plate and cortical screws. Results: Clinical improvement was favorable in younger patients compared to elderly age group. At the end of 1month 88.88% patients improved in 3rd decade. At the end of 6months 100% patient improved in 4th decade out of 70 patients 42 patients improved in the 1st month, 55 patients in the 6th month. In our study patients with symptoms for shorter duration fared better compared to those with symptoms for more than 12 months. The p value was 0.018702, which is statistically significant. Patients who are operated for single level lesion showed 84% improvement after 6months followed by 2 level lesion it showed an improvement of 66.66% after 6 months and 3 level lesions with 60 % after 6months. 31 patients have shown myelomalacia changes, of these 20 patients have improve on post operative MRI. Similarly, out of 39 patients without myelomalacia 35 patients as shown significant improvement. This clearly infers that the improvement as proved by MRI is better in patients without myelomalacia changes. Conclusions: Proper health education and understanding of the disease at the bottom level of health care, is more important for better prognosis. Compared to posterior approach, anterior approach has got better compliance. [ABSTRACT FROM AUTHOR] |
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