SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000400240 |
Resumo: | ABSTRACT Objectives: To evaluate and compare the clinical evolution of surgical approaches used in patients with severe cervical myelopathy. Methods: Retrospective observational study in which 19 patients with myelopathy who underwent surgery were evaluated. Neurological assessments using the Frankel scale were conducted both preoperatively and one year following surgery, and the modified Japanese Orthopedic Association (JOA), Nurick, and Visual Analog Scale for pain (VAS) questionnaires were applied 1 year after the surgical procedure. Results: 89% of the participants were male and the average age was 63.9 years. No patient had postoperative neurological worsening, 12 patients (63.16%) had mild pain, and seven (36.84%) had moderate pain. The group with degenerative disease showed neurological improvement after surgery and the exclusively anterior approach was used in 84% of the cases, the exclusively posterior approach in 10% of the cases, and the dual approach in 6% of the cases. Conclusion: Surgical treatment has good results for inhibiting the unfavorable natural evolution of myelopathy within 1 year following surgery and promotes neurological improvement in degenerative cases, making it possible to use the anterior access route in most cases. Level of evidence III; Retrospective Study. |
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SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATIONMyelopathyCompressive MyelopathyTraumatic MyelopathyABSTRACT Objectives: To evaluate and compare the clinical evolution of surgical approaches used in patients with severe cervical myelopathy. Methods: Retrospective observational study in which 19 patients with myelopathy who underwent surgery were evaluated. Neurological assessments using the Frankel scale were conducted both preoperatively and one year following surgery, and the modified Japanese Orthopedic Association (JOA), Nurick, and Visual Analog Scale for pain (VAS) questionnaires were applied 1 year after the surgical procedure. Results: 89% of the participants were male and the average age was 63.9 years. No patient had postoperative neurological worsening, 12 patients (63.16%) had mild pain, and seven (36.84%) had moderate pain. The group with degenerative disease showed neurological improvement after surgery and the exclusively anterior approach was used in 84% of the cases, the exclusively posterior approach in 10% of the cases, and the dual approach in 6% of the cases. Conclusion: Surgical treatment has good results for inhibiting the unfavorable natural evolution of myelopathy within 1 year following surgery and promotes neurological improvement in degenerative cases, making it possible to use the anterior access route in most cases. Level of evidence III; Retrospective Study.Sociedade Brasileira de Coluna2021-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000400240Coluna/Columna v.20 n.4 2021reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120212004248299info:eu-repo/semantics/openAccessCerqueira,Gabriel FariaKulcheski,Álynson LaroccaSebben,André LuísSantoro,Pedro Grein DelBenato,Marcel LuizGraells,Xavier Soler ieng2022-01-03T00:00:00Zoai:scielo:S1808-18512021000400240Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2022-01-03T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION |
title |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION |
spellingShingle |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION Cerqueira,Gabriel Faria Myelopathy Compressive Myelopathy Traumatic Myelopathy |
title_short |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION |
title_full |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION |
title_fullStr |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION |
title_full_unstemmed |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION |
title_sort |
SEVERE CERVICAL MYELOPATHY: APPROACHES AND POSTOPERATIVE EVALUATION |
author |
Cerqueira,Gabriel Faria |
author_facet |
Cerqueira,Gabriel Faria Kulcheski,Álynson Larocca Sebben,André Luís Santoro,Pedro Grein Del Benato,Marcel Luiz Graells,Xavier Soler i |
author_role |
author |
author2 |
Kulcheski,Álynson Larocca Sebben,André Luís Santoro,Pedro Grein Del Benato,Marcel Luiz Graells,Xavier Soler i |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Cerqueira,Gabriel Faria Kulcheski,Álynson Larocca Sebben,André Luís Santoro,Pedro Grein Del Benato,Marcel Luiz Graells,Xavier Soler i |
dc.subject.por.fl_str_mv |
Myelopathy Compressive Myelopathy Traumatic Myelopathy |
topic |
Myelopathy Compressive Myelopathy Traumatic Myelopathy |
description |
ABSTRACT Objectives: To evaluate and compare the clinical evolution of surgical approaches used in patients with severe cervical myelopathy. Methods: Retrospective observational study in which 19 patients with myelopathy who underwent surgery were evaluated. Neurological assessments using the Frankel scale were conducted both preoperatively and one year following surgery, and the modified Japanese Orthopedic Association (JOA), Nurick, and Visual Analog Scale for pain (VAS) questionnaires were applied 1 year after the surgical procedure. Results: 89% of the participants were male and the average age was 63.9 years. No patient had postoperative neurological worsening, 12 patients (63.16%) had mild pain, and seven (36.84%) had moderate pain. The group with degenerative disease showed neurological improvement after surgery and the exclusively anterior approach was used in 84% of the cases, the exclusively posterior approach in 10% of the cases, and the dual approach in 6% of the cases. Conclusion: Surgical treatment has good results for inhibiting the unfavorable natural evolution of myelopathy within 1 year following surgery and promotes neurological improvement in degenerative cases, making it possible to use the anterior access route in most cases. Level of evidence III; Retrospective Study. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000400240 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000400240 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120212004248299 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.20 n.4 2021 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
_version_ |
1752126616520097792 |