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Multilevel cervical spondylotic myelopathy

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https://www.readbyqxmd.com/read/27909651/hybrid-decompression-and-fixation-technique-for-the-treatment-of-multisegmental-cervical-spondylotic-myelopathy
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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 ...
June 27, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27326960/a-comparison-of-multilevel-anterior-cervical-discectomy-and-corpectomy-in-patients-with-4-level-cervical-spondylotic-myelopathy-a-minimum-2-year-follow-up-study
#12
Zhonghai Li, Jiancheng Huang, Zhizhong Zhang, Fengning Li, Tiesheng Hou, Shuxun Hou
STUDY DESIGN: Retrospective clinical series. OBJECTIVES: To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of segmental anterior cervical corpectomy and fusion (sACCF) plus preservation of middle vertebrae with those of multilevel anterior cervical discectomy and fusion (mACDF) in 70 patients with 4-level cervical spondylotic myelopathy (CSM). METHODS: Between July 2006 and May 2011, 70 consecutive patients (49 males and 21 females; mean age 56...
June 20, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27280783/patterns-of-neurological-recovery-after-anterior-decompression-with-fusion-and-posterior-decompression-with-laminoplasty-for-the-treatment-of-multilevel-cervical-spondylotic-myelopathy
#13
Hu Ren, Fajing Liu, Dahai Yu, Jianhui Cao, Yong Shen, Ximing Li, Shuo Pan
STUDY DESIGN: The pattern of neurological recovery in the overall modified Japanese Orthopedic Association scores, upper limb function score, and lower limb function score after surgical decompression for patients suffering from multilevel cervical spondylotic myelopathy (CSM) were analyzed in this independent retrospective study. OBJECTIVE: The primary objective of this retrospective study was to compare the upper and lower limb function changes after anterior decompression with fusion versus posterior decompression with laminoplasty for patients suffering from multilevel CSM...
June 8, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27246480/complications-following-central-corpectomy-in-468-consecutive-patients-with-degenerative-cervical-spine-disease
#14
Sauradeep Sarkar, Bijesh R Nair, Vedantam Rajshekhar
OBJECTIVE This study was performed to describe the incidence and predictors of perioperative complications following central corpectomy (CC) in 468 consecutive patients with cervical spondylotic myelopathy (CSM) or ossification of the posterior longitudinal ligament (OPLL). METHODS The authors performed a retrospective review of a cohort of patients who had undergone surgery for CSM (n = 338) or OPLL (n = 130) performed by a single surgeon over a 15-year period. All patients underwent uninstrumented CC with autologous iliac crest or fibular strut grafting...
June 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27154446/anterior-spinal-cord-herniation-after-multilevel-anterior-cervical-corpectomy-a-case-report
#15
Zahir Kizilay, Ali Yilmaz, Ozgur Ismailoglu, Mehmet Erdal Coskun
Many complications related to the resection of an ossified posterior longitudinal ligament via the anterior approach have been reported. Postoperative neurological deterioration is one such complication that may appear due to massive anterior spinal cord herniation related to a dural defect following resection of the ossified posterior longitudinal ligament. Specifically, spinal cord herniations have been reported to be associated with posterior approaches, and a large number of theories regarding this association have been offered by various authors...
2016: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/27149789/-anterior-corpectomy-decompression-and-titanium-mesh-bone-iraft-fusion-combined-with-titanium-nate-fixation-for-the-treatment-of-the-multilevel-cervical-spondylotic-myelopathy
#16
Liang Xu, Kong Peng, Zhan-wang Xu
OBJECTIVE: To explore the clinical effects of anterior corpectomy decompression and titanium mesh bone graft fusion combined with titanium plate fixation in treatting multilevel cervical spondylotic myelopathy. METHODS: The clinical data of 48 patients with multilevel cervical spondylotic myelopathy underwent surgical operation were retrospectively analyzed from October 2010 to January 2013. There were 37 males and 11 females, aged from 37 to 76 years old with an average of 54...
March 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27149788/-case-control-study-of-anterior-cervical-decompression-plus-sublevel-fusion-and-posterior-cervical-laminodiastv-for-the-treatment-of-multilevel-cervical-spondylotic-myelopathy
#17
Bo Ahao, Dong Wang, Hao-peng Li, Xi-jing He
OBJECTIVE: To compare the clinical outcomes of anterior cervical decompression plus sublevel fusion and posterior cervical laminoplasty in treating multilevel cervical spondylotic myelopathy. METHODS: The clinical data of 56 patients with multilevel cervical spondylotic myelopathy were retrospectively analyzed from July 2009 to June 2012. There were 32 males and 24 females, aged from 42 to 79 years old with an average of (56.9 +/- 12.8) years. All patients had the typical clinical features of cervical spondylotic myelopathy,radiological evidences, and courses of disease were from 2 months to 16 years with an average of (10...
March 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/26999528/comparative-analysis-of-clinical-outcomes-between-zero-profile-implant-and-cages-with-plate-fixation-in-treating-multilevel-cervical-spondilotic-myelopathy-a-three-year-follow-up
#18
Yu Chen, Huajiang Chen, Xiaodong Wu, Xinwei Wang, Wenbo Lin, Wen Yuan
OBJECTIVES: This study aimed to figure out three-year clinical outcomes and complications of ACDF with Zero-p in treating multilevel cervical spondylotic myelopathy (MCSM) by comparing with plate fixation. CLINICAL MATERIALS AND METHODS: Patients with MCSM caused by degenerative disc herniation only were recruited from April 2010 to December 2010. According to the surgical procedures, the patients were divided into two groups at random, the plate group and Zero-P group...
May 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/26968876/comparison-of-a-zero-profile-anchored-spacer-roi-c-and-the-polyetheretherketone-peek-cages-with-an-anterior-plate-in-anterior-cervical-discectomy-and-fusion-for-multilevel-cervical-spondylotic-myelopathy
#19
Yijie Liu, Heng Wang, Xuefeng Li, Jie Chen, Han Sun, Genlin Wang, Huilin Yang, Weimin Jiang
PURPOSE: We aimed to analyze the clinical and radiographic efficacy of a new zero-profile anchored spacer called the ROI-C in anterior discectomy and fusion (ACDF) for multilevel cervical spondylotic myelopathy (MCSM). METHOD: We retrospectively reviewed the clinical, radiological outcomes and complications of multilevel ACDF with the ROI-C or with the polyetheretherketone (PEEK) cages with an anterior plate. From April 2011 to April 2014, 60 patients with MCSM were operated on using ACDF, with the ROI-C in 28 patients and PEEK cages with an anterior plate in 32 patients...
June 2016: European Spine Journal
https://www.readbyqxmd.com/read/26889986/obtuse-angled-laminotomy-as-a-modification-of-multilevel-laminectomy-for-spinal-cord-decompression
#20
Sumit Jhas, Farhad Pirouzmand
The purpose of this note is to describe an obtuse-angled laminotomy of C7 during cervical decompression that aims to preserve cervicothoracic junction stability and potentially reduce pain. Cervical spondylotic myelopathy can result from degenerative cervical spinal disease including, herniated disk material, osteophytes, redundant ligamentum flavum, or ossification of the posterior longitudinal ligament. Surgical intervention for multilevel myelopathy aims to decompress the spinal cord and maintain stability of the cervical spine...
March 2016: Clinical Spine Surgery
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