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69690

Prognostic Factors of Anterior Surgical Approach in Management of Cervical Spondylotic Myelopathy

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background: Spondylotic cervical myelopathy is defined as spinal cord dysfunction secondary to extrinsic compression of the spinal cord and/or its vascular supply so it is the commonest cause of cord dysfunction in patients over 55 years. Main Surgery target is to prevent the progression of symptoms also to improve existing symptoms.
Aim of the work: To determine prognostic factors of patients with spondylotic cervical myelopathy that surgically managed through anterior approach in relation to outcome clinically and radiologically.
Patients and methods: From July 2015 till December 2018, forty patients with cervical myelopathy were operated by anterior surgical approach (anterior cervical discectomy with fusion and/or corpectomy with fusion. Only patients with confirmed spondylotic myelopathy were included; we exclude those with an infectious, inflammatory or neoplastic etiology.
Results: Patients ages were ranged from (40-67) years, with a mean age 53.2 years. Duration of myelopathy ranged from 2-18 months with a mean duration of 8.55 months. 72.5% patients were treated by discectomy with fusion and 27.5%cases were treated by combined discectomy and corpectomy with fusion. Excellent outcome was reported in 22.5%, while 62.5% cases had good outcome,15% patients had fair outcome. Patient age, disease severity, duration, bowel & bladder manifestations and affection of dorsa column were the prognostic factors in studied patients.
Conclusion: Our study reveals that the significant prognostic factors are: age of patient, severity of myelopathy, duration of myelopathy, presence of bowel or bladder symptoms, dorsal column affection and high signal intensity of T2 weighted MRI.

DOI

10.21608/ijma.2020.21664.1067

Keywords

Spondylotic, Myelopathy, Discectomy, Corpectomy, Prognostic factors

Authors

First Name

Mohamed

Last Name

Ataya

MiddleName

Ahmed

Affiliation

Neurosurgery Department,Damietta Faculty of Medicine,Al-Azhar University Neurosurgery Department ,Nasser institute for research and treatment,Ministry of Health

Email

drmohamedataya@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Aboshahba

MiddleName

Hossam eldin

Affiliation

Neurosurgery Department,Damietta Faculty of Medicine,Al-Azhar University

Email

mohamed.hossam444@yahoo.com

City

cairo

Orcid

-

First Name

Hedaya

Last Name

Hendam

MiddleName

-

Affiliation

Department of Neurosurgery, Damietta Faculty of Medicine, Al-Azhar University

Email

hedayahendam@yahoo.com

City

-

Orcid

-

First Name

Hatem

Last Name

Al samoly

MiddleName

Mohamed

Affiliation

Neurosurgery department,Damietta Faculty of Medicine, Al-Azhar university

Email

elsamoulyhatem@gmail.com

City

-

Orcid

-

Volume

2

Article Issue

1

Related Issue

10770

Issue Date

2020-01-01

Receive Date

2019-12-30

Publish Date

2020-01-01

Page Start

301

Page End

307

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 1_Pages 301-307.pdf

PDF . 418.5kB

Link

https://ijma.journals.ekb.eg/article_69690.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=69690

Order

20

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Prognostic Factors of Anterior Surgical Approach in Management of Cervical Spondylotic Myelopathy

Details

Type

Article

Created At

22 Jan 2023