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Multilevel cervical spondylotic myelopathy

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https://www.readbyqxmd.com/read/28175440/169%C3%A2-laminoplasty-vs-laminectomy-with-posterior-spinal-fusion-for-multilevel-cervical-spondylotic-myelopathy-matched-cohorts-of-regional-sagittal-balance
#1
Darryl Lau, Ethan A Winkler, Khoi Duc Than, Dean Chou, Praveen V Mummaneni
No abstract text is available yet for this article.
August 1, 2016: Neurosurgery
https://www.readbyqxmd.com/read/28151914/can-tranexamic-acid-reduce-blood-loss-in-cervical-laminectomy-with-lateral-mass-screw-fixation-and-bone-grafting-a-retrospective-observational-study
#2
COMPARATIVE STUDY
Cheng-Cheng Yu, Wen-Jie Gao, Jun-Song Yang, Hua Gu, Ming Zhu Md, Kai Sun, Ding-Jun Hao
To assess the safety and efficacy of tranexamic acid (TXA) for decreasing perioperative blood loss in cervical laminectomy with lateral mass screw fixation and bone grafting (CLF), in which all surgical procedures are identical.From November 2014 to April 2016, we performed a retrospective comparative analysis of 119 patients with multilevel cervical spondylotic myelopathy who had undergone a CLF from C3 to C6 in our center. All surgeries were performed on the patients using a consistent, standard procedure...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28104281/-results-to-4-year-follow-up-of-the-treatment-of-the-cervical-stenosis-by-corpectomy-titanium-mesh-cage-and-anterior-plate-fixation
#3
Alejandro Antonio Reyes Sánchez, Luis Alberto Gameros Castañeda, Claudia Obil Chavarría, Armando Alpizar Aguirre, Barón Zárate Kalfópulos, Luis Miguel Rosales-Olivares
BACKGROUND: Cervical spondylotic myelopathy is caused by cervical stenosis. Several techniques have been described for the treatment of multilevel disease, such as the anterior corpectomy with titanium mesh cage and anterior cervical plate placement, which has the advantage of performing a wider decompression and using the same bone as graft. However, it has caused controversy since the collapse of the mesh cage continues being a major limitation of this procedure. MATERIAL AND METHOD: A prospective 4-year follow-up study was conducted in 7 patients diagnosed with cervical stenosis, who were treated surgically by one level corpectomy with titanium mesh cage and anterior cervical plate placement, evaluating them by radiographs and clinical scales...
January 16, 2017: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/28087188/operative-fusion-of-multilevel-cervical-spondylotic-myelopathy-impact-of-patient-demographics
#4
Shearwood McClelland, Bryan J Marascalchi, Peter G Passias, Themistocles S Protopsaltis, Anthony K Frempong-Boadu, Thomas J Errico
Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction in patients older than age 55, with operative management being a widely adopted approach. Previous work has shown that private insurance status, gender and patient race are predictive of the operative approach patients receive (anterior-only, posterior-only, combined anterior-posterior). The Nationwide Inpatient Sample from 2001 to 2010 was used to assess the potential role of multilevel CSM as a contributing factor in determining which operative approach CSM patients receive, as it is rare for an anterior-only approach to be sufficient for CSM patients requiring fusion of four or more involved levels...
January 10, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28076997/surgical-treatment-of-severe-multilevel-circumferential-compressive-myelopathy-of-the-cervical-spine-is-circumferential-procedure-necessary
#5
Xiao-Kang Liu, Hao Li, Jian-Guang Xu, Er-Zhu Yang, Tie-Sheng Hou, Bing-Fang Zeng, Xiao-Feng Lian
OBJECTIVE: To determine the necessity of circumferential decompression and fusion in patients with severe multilevel cervical spondylotic myelopathy with circumferential cord compression. METHODS: This prospective study involved 51 patients with severe multilevel circumferential cervical myelopathy underwent two-stage circumferential procedure between July 2008 and June 2010. VAS scores, satisfaction surveys and JOA scores and imaging studies were obtained. Twenty-three patients (45...
January 11, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28073140/-clinical-and-radiological-results-after-anterior-cervical-corpectomy-with-cage-fusion-a-retrospective-comparison-of-peek-vs-titanium-cages
#6
Chris Schulz, Uwe Max Mauer, René Mathieu
Background Anterior cervical corpectomy and fusion (ACCF) has become a standard procedure for patients with spondylotic myelopathy due to multisegmental stenosis of the cervical canal. Beside the fusion technique using autogenous bone grafts, synthetic cages have been increasingly used in recent years. Published information on the clinical and radiological results of different cage materials for ACCF is still limited. The study presented here is the largest series to date reporting clinical and radiological outcomes and complication rates after one- to three-level ACCF using structural polyetheretherketone (PEEK) or titanium cages augmented by anterior plate-screw osteosynthesis...
January 10, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28057094/-comparison-of-the-outcomes-between-anterior-cervical-discectomy-and-fusion-versus-posterior-laminectomy-and-fusion-for-the-treatment-of-multi-level-cervical-spondylotic-myelopathy-combined-with-cervical-kyphosis
#7
Q F Shen, T T Xu, Y P Xia
Objective: To compare the outcomes between anterior cervical discectomy and fusion (ACDF) and posterior laminectomy and fusion(LF) for multilevel cervical spondylotic myelopathy combined with cervical kyphosis. Methods: From January 2010 to June 2014, 54 patients with cervical spondylotic myelopathy combined with cervical kyphosis underwent surgical treatment.Among them, 29 patients were underwent ACDF, and 25 patients were underwent LF in Department of spine surgery, Tianjin Union Medical Centre. The operation time, intraoperative blood loss, fusion segments, Japanese Orthopaedic Association (JOA)score, Neck Disability Index (NDI), Visual Analog Scale (VAS), change of cervical curvature, range of motion(ROM)and complications were recorded and compared between the two groups...
December 20, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28031502/four-level-anterior-cervical-discectomy-and-fusion-for-cervical-spondylotic-myelopathy
#8
Shan-Jin Wang, Bin Ma, Yu-Feng Huang, Fu-Min Pan, Wei-Dong Zhao, De-Sheng Wu
PURPOSE: To review the outcome of 32 consecutive patients who underwent 4-level anterior cervical discectomy and fusion (ACDF) with cages and plates and were followed up for at least 5 years. METHODS: Records of 19 men and 13 women aged 48 to 69 years who underwent 4-level ACDF with cages and plates for myelopathy (n=11) or myeloradiculopathy (n=21) at C3 to C7 by a single surgeon and were followed up for a minimum of 5 years were reviewed. Clinical outcome was assessed using the visual analogue scale (VAS), Neck Disability Index (NDI), and modified Japanese Orthopaedic Association (JOA) score for pain or myelopathic symptoms...
December 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27930523/anterior-cervical-discectomy-and-fusion-versus-anterior-cervical-corpectomy-and-fusion-in-multilevel-cervical-spondylotic-myelopathy-a-meta-analysis
#9
REVIEW
Tao Wang, Hui Wang, Sen Liu, Huang-Da An, Huan Liu, Wen-Yuan Ding
BACKGROUND: Both anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) are used to treat multilevel cervical spondylotic myelopathy (mCSM); however, which one is better treatment for mCSM remains considerable controversy. A meta-analysis was performed to compare clinical outcomes, radiographic outcomes, and surgical outcomes between ACDF and ACCF in treatment for mCSM. METHODS: An extensive search of literature was performed in Pubmed/MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG databases on ACDF versus ACCF treatment for mCSM from January 2011 to August 2016...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27909651/hybrid-decompression-and-fixation-technique-for-the-treatment-of-multisegmental-cervical-spondylotic-myelopathy
#10
Barón Zárate-Kalfopulos, Walter Araos-Silva, Alejandro Reyes-Sánchez, Luis Miguel Rosales-Olivarez, Armando Alpizar-Aguirre, Francisco Lopez Melendez
BACKGROUND: Cervical spondilotic myelopathy (CSM) is defined as the compromise of the spinal cord due to degenerative changes of the cervical spine. It is the most common cause of spinal cord dysfunction in patients over 55 years. An early surgical management it is paramount to achieve better neurological outcome. There is still controversy regarding the appropriate surgical treatment for multisegmental CSM involving three or more levels. The hybrid decompression and fixation technique combines one or two level corpectomy and a single level discectomy in order to obtain optimum decompression and fixation in patients with multilevel cervical myelopathy...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27898600/is-it-necessary-to-extend-a-multilevel-posterior-cervical-decompression-and-fusion-to-the-upper-thoracic-spine
#11
Gregory D Schroeder, Christopher K Kepler, Mark F Kurd, Loren Mead, Paul W Millhouse, Priyanka Kumar, Kristen Nicholson, Christie Stawicki, Andrew Helber, Daniella Fasciano, Alpesh A Patel, Barret I Woods, Kris E Radcliff, Jeffery A Rihn, D Greg Anderson, Alan S Hilibrand, Alexander R Vaccaro
STUDY DESIGN: A retrospective cohort analysis. OBJECTIVE: The aim of this study was to determine if there is a difference in the revision rate in patients who undergo a multilevel posterior cervical fusions ending at C7, T1, or T2-T4. SUMMARY OF BACKGROUND DATA: Multilevel posterior cervical decompression and fusion is a common procedure for patients with cervical spondylotic myelopathy, but there is little literature available to help guide the surgeon in choosing the caudal level of a multilevel posterior cervical fusion...
December 1, 2016: Spine
https://www.readbyqxmd.com/read/27681535/posterior-or-single-stage-combined-anterior-and-posterior-approach-decompression-for-treating-complex-cervical-spondylotic-myelopathy-coincident-multilevel-anterior-and-posterior-compression
#12
Xiaoxiao Zhou, Pan Cai, Yuwei Li, Haijiao Wang, Shengli Xia, Xiuhui Wang
STUDY DESIGN: A single-center, retrospective, longitudinal matched cohort clinical study of prospectively collected outcomes. OBJECTIVE: To compare retrospectively the clinical outcomes and complications of the posterior approach laminoplasty and single-stage anterior approach laminoplasty combined with anterior cervical corpectomy and fusion and anterior cervical discectomy and fusion for treating patients with cervical spondylotic myelopathy coincident multilevel anterior and posterior compression, known as complex cervical spondylotic myelopathy (cCSM) here...
September 27, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27669040/comparison-of-3-reconstructive-techniques-in-the-surgical-management-of-patients-with-4-level-cervical-spondylotic-myelopathy
#13
Zhonghai Li, Huadong Wang, Jiaguang Tang, Dongfeng Ren, Li Li, Shuxun Hou, Hailong Zhang, Tiesheng Hou
STUDY DESIGN: Retrospective clinical series. OBJECTIVE: To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of 3 reconstructive techniques after the anterior decompression of 4-level CSM. SUMMARY OF BACKGROUND DATA: At present, the decision to treat multilevel cervical spondylotic myelopathy (CSM) especially 4-level CSM remains controversial. No one compares multilevel anterior cervical discectomy and fusion (mACDF), segmental anterior cervical corpectomy and fusion (sACCF) to multilevel anterior cervical discectomy and fusion with cage alone (mACDF-CA) in 4-level constructs...
September 23, 2016: Spine
https://www.readbyqxmd.com/read/27621642/long-term-outcomes-and-prognostic-analysis-of-modified-open-door-laminoplasty-with-lateral-mass-screw-fusion-in-treatment-of-cervical-spondylotic-myelopathy
#14
Nan Su, Qi Fei, Bingqiang Wang, Dong Li, Jinjun Li, Hai Meng, Yong Yang, Ai Guo
OBJECTIVES: The purpose of the present study was to explore and analyze the long-term outcomes and factors that affect the prognosis of expansive open-door laminoplasty with lateral mass screw fusion in treatment of cervical spondylotic myelopathy (CSM). METHODS: We retrospectively reviewed 49 patients with multilevel CSM who had undergone expansive open-door laminoplasty with lateral mass screws fixation and fusion in our hospital between February 2008 and February 2012...
2016: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/27563676/the-midterm-surgical-outcome-of-modified-expansive-open-door-laminoplasty
#15
Kuang-Ting Yeh, Ru-Ping Lee, Ing-Ho Chen, Tzai-Chiu Yu, Cheng-Huan Peng, Kuan-Lin Liu, Jen-Hung Wang, Wen-Tien Wu
Laminoplasty is a standard technique for treating patients with multilevel cervical spondylotic myelopathy. Modified expansive open-door laminoplasty (MEOLP) preserves the unilateral paraspinal musculature and nuchal ligament and prevents facet joint violation. The purpose of this study was to elucidate the midterm surgical outcomes of this less invasive technique. We retrospectively recruited 65 consecutive patients who underwent MEOLP at our institution in 2011 with at least 4 years of follow-up. Clinical conditions were evaluated by examining neck disability index, Japanese Orthopaedic Association (JOA), Nurick scale, and axial neck pain visual analog scale scores...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27534090/-opinions-about-diagnosis-and-treatment-of-multilevel-cervical-spondylotic-myelopathy
#16
Ying-jie Zhou, Xu-bin Chai
There should be confusion about diagnosis and treatment for multiple segments cervical myelopathy in some respects. The author reviewed the literature and combined with clinical experience, proposed a new classification for cervical myelopathy according to responsibility segment areas, which dividing into single segment,double segments (continues or jumping type), multi-segment (≥ three segments). The responsible segments determination is the premise of diagnosis and also a key to determine surgical decompression segment...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27441175/analysis-of-the-outcome-in-patients-with-cervical-spondylotic-myelopathy-undergone-canal-expansive-laminoplasty-supported-with-instrumentation-in-a-group-of-indian-population-a-prospective-study
#17
Subhadip Mandal, U Banerjee, A S Mukherjee, Subhajyoti Mandal, Srikanta Kundu
BACKGROUND: Chronic compression of the cervical spinal cord leads to a clinical syndrome of cervical spondylotic myelopathy (CSM). Clinical symptoms of cervical spondylotic myelopathy (CSM) or cervical myeloradiculopathies result in spinal cord and root dysfunction. The primary aims of surgical intervention for multilevel myelopathy are to decompress the spinal cord and maintain stability of the cervical spine. Secondary aims are to minimize complications which include long-term pain and motion loss...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27399448/169%C3%A2-laminoplasty-vs-laminectomy-with-posterior-spinal-fusion-for-multilevel-cervical-spondylotic-myelopathy-matched-cohorts-of-regional-sagittal-balance
#18
Darryl Lau, Ethan A Winkler, Khoi Duc Than, Dean Chou, Praveen V Mummaneni
INTRODUCTION: Cervical curvature is an important factor when deciding between laminoplasty or laminectomy with posterior spinal fusion (PSF). This study compares outcomes of laminoplasty and laminectomy with PSF in patients with matched regional sagittal balance. METHODS: Adults from 2011 to 2014 undergoing laminoplasty or laminectomy with PSF for cervical spondylotic myelopathy were identified. Matched cohorts were obtained by excluding laminectomy with PSF patients with postoperative cervical Cobb angles outside the range of laminoplasty patients...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27355728/regression-of-anterior-disc-osteophyte-complex-following-cervical-laminectomy-and-fusion-for-cervical-spondylotic-myelopathy
#19
Adedayo O Ashana, Jeremiah R Cohen, Brandon Evans, Langston T Holly
STUDY DESIGN: Retrospective case control study. OBJECTIVE: To investigate whether posterior cervical laminectomy and fusion modifies the natural course of anterior disc-osteophyte complex in patients with multilevel CSM. 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 28, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27352375/a-comparison-of-the-anterior-approach-and-the-posterior-approach-in-treating-multilevel-cervical-myelopathy-a-meta-analysis
#20
Zihao Chen, Bin Liu, Jianwen Dong, Feng Feng, Ruiqiang Chen, Peigen Xie, Limin Rong
STUDY DESIGN: A meta-analysis. OBJECTIVE: To compare the effectiveness and the safety of the anterior approach with those of the posterior approach for patients diagnosed with multilevel cervical myelopathy (MCM). SUMMARY OF BACKGROUND DATA: Although many studies had compared the outcomes of the anterior approach with that of the posterior approach for MCM in recent years, choosing a proper surgical approach is still a controversial issue ...
March 2017: Clinical Spine Surgery
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