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Multilevel cervical spondylotic myelopathy

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https://www.readbyqxmd.com/read/29455486/-anterior-cervical-hybrid-surgical-treatment-for-multilevel-cervical-spondylotic-myelopathy
#1
Bi-Shui Zhan, Xue-Sheng Jiang, Guo-Shun Zhou, Ya-Feng Ji
OBJECTIVE: To evaluate the clinical results of anterior cervical discectomy and reconstruction with a self-locking cage and internal fixation with short segmental plate for multilevel cervical spondylotic myelopathy. METHODS: From January 2012 to June 2015, a total of 106 patients received anterior cervical discectomy and reconstruction with a self-locking cage and internal fixation with short segmental plate were followed up. There were 71 males and 35 females, aged from 42 to 74 years old with an average of(55...
September 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29432408/a-randomized-trial-comparing-clinical-outcomes-between-zero-profile-and-traditional-multilevel-anterior-cervical-discectomy-and-fusion-surgery-for-cervical-myelopathy
#2
Shenghua He, Hualong Feng, Zhiming Lan, Juyi Lai, Zhitao Sun, Yeguang Wang, Jian Wang, Zhiqiang Ren, Feiqiang Huang, Fuguang Xu
STUDY DESIGN: Prospective randomized study from a single center OBJECTIVE.: The purpose of this study was to compare outcomes between a zero-profile (ZP) anterior cervical discectomy and fusion (ACDF) construct to a traditional ACDF with anterior cervical plate (ACP) in the treatment of multilevel cervical spondylotic myelopathy. SUMMARY OF BACKGROUND DATA: Multilevel cervical spondylotic myelopathy can be treated by a variety of techniques, most commonly with corpectomy, ACDF, posterior cervical fusion, or a combination of the three...
March 1, 2018: Spine
https://www.readbyqxmd.com/read/29415913/hybrid-method-of-transvertebral-foraminotomy-combined-with-anterior-cervical-decompression-and-fusion-for-multilevel-cervical-disease
#3
Yu Yamamoto, Masahito Hara, Yusuke Nishimura, Shoichi Haimoto, Toshihiko Wakabayashi
Transvertebral foraminotomy (TVF) combined with anterior cervical decompression and fusion (ACDF) can be used to treat multilevel cervical spondylotic myelopathy and radiculopathy; however, the radiological outcomes and effectiveness of this hybrid procedure are unknown. We retrospectively assessed 22 consecutive patients treated with combined TVF and ACDF between January 2007 and May 2016. The Japanese Orthopedic Association (JOA) score and Odom's criteria were analyzed. Radiological assessment included the C2-7 sagittal Cobb angle (CA) and range of motion (ROM)...
February 7, 2018: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/29403242/multilevel-cervical-laminectomy-and-fusion-with-posterior-cervical-cages
#4
Jad N Bou Monsef, Krzysztof B Siemionow
Context: Cervical spondylotic myelopathy (CSM) is a progressive disease that can result in significant disability. Single-level stenosis can be effectively decompressed through either anterior or posterior techniques. However, multilevel pathology can be challenging, especially in the presence of significant spinal stenosis. Three-level anterior decompression and fusion are associated with higher nonunion rates and prolonged dysphagia. Posterior multilevel laminectomies with foraminotomies jeopardize the bone stock required for stable fixation with lateral mass screws (LMSs)...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29330570/open-door-laminoplasty-what-can-the-unilateral-approach-offer
#5
REVIEW
R Kothe, G Schmeiser, L Papavero
OBJECTIVE: Multilevel posterior decompression of subaxial cervical spinal canal stenosis through a less-invasive unilateral approach. INDICATIONS: Degenerative cervical myelopathy due to multilevel subaxial spinal canal stenosis. CONTRAINDICATIONS: Cervical kyphosis or instability, bilateral radiculopathy due to foraminal stenosis, involvement of C2 or C7. SURGICAL TECHNIQUE: Unilateral subaxial approach with detachment of muscles only on one side...
January 12, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29327555/-anterior-versus-posterior-approach-for-multilevel-cervical-spondylotic-myelopathy-a-meta-analysis
#6
Jing-Yang You, Yong Zheng, Ming Chen, Jiang-Rong Fan
OBJECTIVE: To assess the clinical effectiveness and safety of anterior versus posterior approach for multilevel cervical spondylotic myelopathy. METHODS: The following databases were searched: the Cochrane Library, PubMed, EM base, OVID, CBM, Wanfang Data, CNKI. Relevant journals were manually searched for randomized controlled trials or clinical controlled trials(CCTs) that investigated the clinical effectiveness and safety of anterior and posterior approach for multilevel cervical spondylotic myelopathy...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29277594/modified-laminoplasty-preserving-the-posterior-deep-extensor-insertion-into-c2-improves-clinical-and-radiological-results-compared-with-conventional-laminoplasty-a-meta-analysis
#7
REVIEW
Qihua Qi, Yan Chen, Zeming Ling, Hao Hu, Junxuan Ma, Wei Guo, Manman Gao, Zhiyu Zhou, Xuenong Zou
BACKGROUND: Whether modified laminoplasty is better than conventional laminoplasty is unclear. Thus, a meta-analysis comparing the outcomes of preserving or repairing the posterior deep extensor insertion to C2 in laminoplasty was conducted for patients with multilevel cervical spondylotic myelopathy (MCSM). METHODS: Several electronic databases were chosen to search for relevant studies. The primary indices included preoperative and postoperative JOA scores, JOA recovery rate, muscle atrophy rate, preoperative and postoperative range of motion (ROM), ROM decrease rate, and incidence of axial pain...
December 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29209025/oblique-corpectomy-in-the-cervical-spine
#8
Tomasz Tykocki, Łukasz A Poniatowski, Marcin Czyz, Guy Wynne-Jones
STUDY DESIGN: A narrative review. OBJECTIVES: A literature review of studies reporting on the application of oblique corpectomy (OC) in various pathologies of the cervical spine. SETTING: UK. METHODS: A search was carried out using the PubMed and Google Scholar up to 18 March 2017. Finally, 26 studies met the inclusion criteria. RESULTS: A multilevel OC shows good clinical outcomes in various pathologies in the cervical spine...
December 5, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29200481/cervical-laminectomy-with-lateral-mass-screw-fixation-in-cervical-spondylotic-myelopathy-neurological-and-sagittal-alignment-outcome-do-we-need-lateral-mass-screws-at-each-segment
#9
Manoj Dayalal Singrakhia, Nikhil Ramdas Malewar, Sonal Manoj Singrakhia, Shivaji Subhash Deshmukh
Background: Anterior cervical decompression and fusion is the standard procedure used for treating patients with cervical myelopathy. However, these procedures are associated with complications such as pseudarthrosis, construct failure, and neurological complications. Posterior cervical laminectomy and instrumentation is an alternative procedure to treat multilevel cervical myelopathy. In this study, we raised questions whether instrumentation is required at all levels and whether stabilizing the spine in neutral or lordotic contour with indirect decompression leads to neurological improvement with radiological evidence of anterior decompression...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28919610/open-door-laminoplasty-for-multilevel-cervical-spondylotic-myelopathy-and-ossification-of-the-posterior-longitudinal-ligament-opll-using-titanium-reconstruction-miniplate-and-screws
#10
M K Ahsan, M A Awwal, S I Khan, N Zaman, M H Haque, Z Zahangiri
To review outcome of 25 patients who underwent open-door cervical laminoplasty for multilevel cervical spondylotic myelopathy (MCSM) and ossification of the posterior longitudinal ligament (OPLL) using titanium reconstruction miniplate and screws. Records of 18 men and 7 women aged 35 to 78 (mean, 62.6) years were reviewed retrospectively from October 2009 and October 2014 at Bangabandhu Sheikh Mujib Medical University (BSMMU) and in our private settings, Dhaka, Bangladesh. Four patients had 5 levels (C3-C7), 21 patients had 4 levels (C3-C6) decompression and 3 patients (12%) performed foraminotomies...
July 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28862572/laminoplasty-versus-laminectomy-with-posterior-spinal-fusion-for-multilevel-cervical-spondylotic-myelopathy-influence-of-cervical-alignment-on-outcomes
#11
COMPARATIVE STUDY
Darryl Lau, Ethan A Winkler, Khoi D Than, Dean Chou, Praveen V Mummaneni
OBJECTIVE Cervical curvature is an important factor when deciding between laminoplasty and laminectomy with posterior spinal fusion (LPSF) for cervical spondylotic myelopathy (CSM). This study compares outcomes following laminoplasty and LPSF in patients with matched postoperative cervical lordosis. METHODS Adults undergoing laminoplasty or LPSF for cervical CSM from 2011 to 2014 were identified. Matched cohorts were obtained by excluding LPSF patients with postoperative cervical Cobb angles outside the range of laminoplasty patients...
November 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28847117/in-reply-to-does-spinal-cord-line-influence-choice-of-surgical-approach-in-multilevel-cervical-spondylotic-myelopathy
#12
LETTER
Guang-Heng Xiang
No abstract text is available yet for this article.
September 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28847116/does-spinal-cord-line-influence-choice-of-surgical-approach-in-multilevel-cervical-spondylotic-myelopathy
#13
LETTER
Mohit Agrawal, Sachin Anil Borkar, Manoj Phalak, Raghav Singla, Ashok K Mahapatra
No abstract text is available yet for this article.
September 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28841652/fresh-frozen-cortical-strut-allograft-in-two-level-anterior-cervical-corpectomy-and-fusion
#14
Kuang-Ting Yeh, Ru-Ping Lee, Ing-Ho Chen, Tzai-Chiu Yu, Kuan-Lin Liu, Cheng-Huan Peng, Jen-Hung Wang, Pau-Yuan Chang, Wen-Tien Wu
Anterior cervical corpectomy and fusion (ACCF) is one of the main surgical strategies for the management of multilevel cervical spondylotic myelopathy (MCSM). High complication rates of graft bone fracture, resorption, displacement, and fusion collapse or pseudarthrosis have been previously reported. The strategies to prevent the aforementioned complications include using fresh frozen cortical strut allograft (FFCSA) to keep most of the original bone quality and using additional anterior plate fixation to improve the fusion stability and union rate...
2017: PloS One
https://www.readbyqxmd.com/read/28834916/factors-predicting-dysphagia-after-anterior-cervical-surgery-a-multicenter-retrospective-study-for-2-years-of-follow-up
#15
MULTICENTER STUDY
Tao Wang, Lei Ma, Da-Long Yang, Hui Wang, Zhi-Long Bai, Li-Jun Zhang, Wen-Yuan Ding
A multicenter retrospective study.The purpose of this study was to explore risk factors of dysphagia after anterior cervical surgery and factors affecting rehabilitation of dysphagia 2 years after surgery.Patients who underwent anterior cervical surgery at 3 centers from January 2010 to January 2013 were included. The possible factors included 3 aspects: demographic variables-age, sex, body mass index (BMI): hypertension, diabetes, heart disease, smoking, alcohol use, diagnose (cervical spondylotic myelopathy or ossification of posterior longitudinal ligament), preoperative visual analogue scale (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA), surgical-related variables-surgical option (ACDF, ACCF, ACCDF, or Zero profile), operation time, blood loss, operative level, superior fusion segment, incision length, angle of C2 to C7, height of C2 to C7, cervical circumference, cervical circumference/height of C2 to C7...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28742760/a-randomized-trial-comparing-clinical-outcomes-between-zero-profile-and-traditional-multi-level-anterior-cervical-discectomy-and-fusion-surgery-for-cervical-myelopathy
#16
Shenghua He, Hualong Feng, Zhiming Lan, Lai Juyi, Zhitao Sun, Yeguang Wang, Jian Wang, Zhiqiang Ren, Feiqiang Huang, Fuguang Xu
STUDY DESIGN: Prospective randomized study from a single center OBJECTIVE.: The purpose of this study was to compare outcomes between a zero-profile (ZP) anterior cervical discectomy and fusion (ACDF) construct to a traditional ACDF with anterior plate (ACP) in the treatment of multilevel cervical spondylotic myelopathy. SUMMARY OF BACKGROUND DATA: Multi-level cervical spondylotic myelopathy can be treated by a variety of techniques, most commonly with corpectomy, ACDF, posterior cervical fusion or a combination of the three...
July 24, 2017: Spine
https://www.readbyqxmd.com/read/28708041/microendoscopic-laminotomy-versus-conventional-laminoplasty-for-cervical-spondylotic-myelopathy-5-year-follow-up-study
#17
COMPARATIVE STUDY
Akihito Minamide, Munehito Yoshida, Andrew K Simpson, Hiroshi Yamada, Hiroshi Hashizume, Yukihiro Nakagawa, Hiroshi Iwasaki, Shunji Tsutsui, Motohiro Okada, Masanari Takami, Shin-Ichi Nakao
OBJECTIVE The goal of this study was to characterize the long-term clinical and radiological results of articular segmental decompression surgery using endoscopy (cervical microendoscopic laminotomy [CMEL]) for cervical spondylotic myelopathy (CSM) and to compare outcomes to conventional expansive laminoplasty (ELAP). METHODS Consecutive patients with CSM who required surgical treatment were enrolled. All enrolled patients (n = 78) underwent CMEL or ELAP. All patients were followed postoperatively for more than 5 years...
October 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28625909/multilevel-anterior-cervical-diskectomy-and-fusion-with-zero-profile-devices-analysis-of-safety-and-feasibility-with-focus-on-sagittal-alignment-and-impact-on-clinical-outcome-single-institution-experience-and-review-of-literature
#18
Vincenzo Albanese, Francesco Certo, Massimiliano Visocchi, Giuseppe M V Barbagallo
BACKGROUND: In multilevel degenerative conditions posterior approaches are often preferred, but anterior approaches provide comparable clinical results and better alignment. Anterior plating entails higher rates of soft tissue injuries and dysphagia, particularly in multilevel cases. This study evaluates efficacy and safety of zero-profile devices in 3- and 4-level anterior cervical diskectomy and fusion, analyzing patients' clinical and radiologic long-term outcomes. METHODS: We prospectively enrolled 24 patients with cervical spondylotic myeloradiculopathy who underwent 3- and 4-level anterior cervical diskectomy and fusion with the zero-profile device...
October 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28526640/zero-profile-spacer-versus-cage-plate-construct-in-anterior-cervical-diskectomy-and-fusion-for-multilevel-cervical-spondylotic-myelopathy-systematic-review-and-meta-analysis
#19
REVIEW
Min-Ji Tong, Guang-Heng Xiang, Zi-Li He, De-Heng Chen, Qian Tang, Hua-Zi Xu, Nai-Feng Tian
BACKGROUND: Anterior cervical diskectomy and fusion with plate-screw construct has been gradually applied for multilevel cervical spondylotic myelopathy in recent years. However, long cervical plate was associated with complications including breakage or loosening of plate and screws, trachea-esophageal injury, neurovascular injury, and postoperative dysphagia. To reduce these complications, the zero-profile spacer has been introduced. This meta-analysis was performed to compare the clinical and radiologic outcomes of zero-profile spacer versus cage-plate construct for the treatment of multilevel cervical spondylotic myelopathy...
August 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28525486/regression-of-anterior-disk-osteophyte-complex-following-cervical-laminectomy-and-fusion-for-cervical-spondylotic-myelopathy
#20
Adedayo O Ashana, Jeremiah R Cohen, Brandon Evans, Langston T Holly
STUDY DESIGN: A retrospective case-control study. OBJECTIVE: To investigate whether posterior cervical laminectomy and fusion modifies the natural course of anterior disk-osteophyte complex in patients with multilevel cervical spondylotic myelopathy. SUMMARY OF BACKGROUND DATA: Dorsal migration of the spinal cord is the main purported mechanism of spinal cord decompression following cervical laminectomy and fusion but other potential mechanisms have received scant attention in the literature...
June 2017: Clinical Spine Surgery
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