Anterior Versus Posterior Approach for Multilevel Cervical Spondylotic Myelopathy

ackground Data: Cervical spondylotic myelopathy (CSM) is a common spinal d isorder that we face in daily clinical practice. Both anterior and posterior approaches alone or in combination with one another have been used to treat the condition. The ideal approach however is still not agreed on partic...

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Autores principales: Ahmed Abou-Zeid, Salah Hamada
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Lenguaje:EN
Publicado: Egyptian Spine Association 2015
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Acceso en línea:https://doaj.org/article/ffd213e27cdf47a6848079c17700cbb2
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spelling oai:doaj.org-article:ffd213e27cdf47a6848079c17700cbb22021-12-02T00:13:26ZAnterior Versus Posterior Approach for Multilevel Cervical Spondylotic MyelopathyDOI:10.21608/ESJ.2015.39462314-89502314-8969https://doaj.org/article/ffd213e27cdf47a6848079c17700cbb22015-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3946.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969ackground Data: Cervical spondylotic myelopathy (CSM) is a common spinal d isorder that we face in daily clinical practice. Both anterior and posterior approaches alone or in combination with one another have been used to treat the condition. The ideal approach however is still not agreed on particularly when the levels involved are three or more. Purpose: We report our experience in managing multilevel CSM using both anterior and posterior approaches and compare the clinical and radiological outcome and also complications. Study Design: Retrospective analysis clinical case study. Patients and Methods: Forty-two patients who had surgery for multilevel CSM under our care were included in this study. We recorded the Visual Analogue Score (VAS) for neck pain, Nurick myelopathy score and cervical alignment (C2-C7 angle) on lateral X ray film preoperatively and on each follow up visit (3 weeks, 3, 6 and 12 months). We compared the results using Paired Student’s t-test was used for comparing paired data having entered all data into Paired Student’s t-test was used for comparing paired data. Results: There was a significant difference in myelopathy and neck pain improvement in both groups and significant improvement in cervical alignment in the anterior approach but not posterior approach group. Conclusion: Both anterior and posterior approaches significantly improve neck pain and myelopathy in patients with multilevel cervical spondylotic myelopathy although the anterior approach has the advantage of kyphotic angle correction. (2015ESJ076)Ahmed Abou-ZeidSalah HamadaEgyptian Spine AssociationarticleCervical spondylotic myelopathyLaminectomyfusioncorpectomyanterior cervical discectomyNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 13, Iss 1, Pp 3-11 (2015)
institution DOAJ
collection DOAJ
language EN
topic Cervical spondylotic myelopathy
Laminectomy
fusion
corpectomy
anterior cervical discectomy
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Cervical spondylotic myelopathy
Laminectomy
fusion
corpectomy
anterior cervical discectomy
Neurology. Diseases of the nervous system
RC346-429
Ahmed Abou-Zeid
Salah Hamada
Anterior Versus Posterior Approach for Multilevel Cervical Spondylotic Myelopathy
description ackground Data: Cervical spondylotic myelopathy (CSM) is a common spinal d isorder that we face in daily clinical practice. Both anterior and posterior approaches alone or in combination with one another have been used to treat the condition. The ideal approach however is still not agreed on particularly when the levels involved are three or more. Purpose: We report our experience in managing multilevel CSM using both anterior and posterior approaches and compare the clinical and radiological outcome and also complications. Study Design: Retrospective analysis clinical case study. Patients and Methods: Forty-two patients who had surgery for multilevel CSM under our care were included in this study. We recorded the Visual Analogue Score (VAS) for neck pain, Nurick myelopathy score and cervical alignment (C2-C7 angle) on lateral X ray film preoperatively and on each follow up visit (3 weeks, 3, 6 and 12 months). We compared the results using Paired Student’s t-test was used for comparing paired data having entered all data into Paired Student’s t-test was used for comparing paired data. Results: There was a significant difference in myelopathy and neck pain improvement in both groups and significant improvement in cervical alignment in the anterior approach but not posterior approach group. Conclusion: Both anterior and posterior approaches significantly improve neck pain and myelopathy in patients with multilevel cervical spondylotic myelopathy although the anterior approach has the advantage of kyphotic angle correction. (2015ESJ076)
format article
author Ahmed Abou-Zeid
Salah Hamada
author_facet Ahmed Abou-Zeid
Salah Hamada
author_sort Ahmed Abou-Zeid
title Anterior Versus Posterior Approach for Multilevel Cervical Spondylotic Myelopathy
title_short Anterior Versus Posterior Approach for Multilevel Cervical Spondylotic Myelopathy
title_full Anterior Versus Posterior Approach for Multilevel Cervical Spondylotic Myelopathy
title_fullStr Anterior Versus Posterior Approach for Multilevel Cervical Spondylotic Myelopathy
title_full_unstemmed Anterior Versus Posterior Approach for Multilevel Cervical Spondylotic Myelopathy
title_sort anterior versus posterior approach for multilevel cervical spondylotic myelopathy
publisher Egyptian Spine Association
publishDate 2015
url https://doaj.org/article/ffd213e27cdf47a6848079c17700cbb2
work_keys_str_mv AT ahmedabouzeid anteriorversusposteriorapproachformultilevelcervicalspondyloticmyelopathy
AT salahhamada anteriorversusposteriorapproachformultilevelcervicalspondyloticmyelopathy
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