CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY?
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=S1808-18512021000200078 |
Resumo: | ABSTRACT Objective: Cervical spondylotic myelopathy (CSM) is the main cause of spinal dysfunction in adults. The type of surgical approach to treatment is not well defined in the literature. The objective is to report the results obtained through isolated posterior decompression in patients with a previous indication of the combined approach for the treatment of cervical spondylotic myelopathy. Methods: This is a therapeutic study with level of evidence II, according to the Oxford classification table. Ten patients who underwent isolated posterior approach surgery for the treatment of cervical spondylotic myelopathy were evaluated through imaging and questionnaires (visual analog scale, mJOA-Br scale – Brazilian Portuguese version of the Modified Japanese Orthopedic Association Scale, and Neck Disability Index (NDI)), comparing pre- and postoperative results. Results: Late evaluation of the 10 patients was performed in the period ranging from 24 to 36 months (mean of 30.3 months ± 7.25) following surgery. The comparison of the clinical and radiological parameters in all patients showed a statistical difference in relation to the preoperative scales applied and to the degree of cervical lordosis (p <0.05), evidencing improvement after decompression and posterior fixation of the cervical spine. Conclusions: The isolated posterior approach (decompression, fixation and arthrodesis) allowed the clinical and radiological improvement of patients with cervical spondylotic myelopathy and who had an indication of the complementary anterior approach. Level of evidence II; Retrospective study. |
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CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY?Spinal OsteophytosisSpinal Cord DiseasesCervical VertebraeABSTRACT Objective: Cervical spondylotic myelopathy (CSM) is the main cause of spinal dysfunction in adults. The type of surgical approach to treatment is not well defined in the literature. The objective is to report the results obtained through isolated posterior decompression in patients with a previous indication of the combined approach for the treatment of cervical spondylotic myelopathy. Methods: This is a therapeutic study with level of evidence II, according to the Oxford classification table. Ten patients who underwent isolated posterior approach surgery for the treatment of cervical spondylotic myelopathy were evaluated through imaging and questionnaires (visual analog scale, mJOA-Br scale – Brazilian Portuguese version of the Modified Japanese Orthopedic Association Scale, and Neck Disability Index (NDI)), comparing pre- and postoperative results. Results: Late evaluation of the 10 patients was performed in the period ranging from 24 to 36 months (mean of 30.3 months ± 7.25) following surgery. The comparison of the clinical and radiological parameters in all patients showed a statistical difference in relation to the preoperative scales applied and to the degree of cervical lordosis (p <0.05), evidencing improvement after decompression and posterior fixation of the cervical spine. Conclusions: The isolated posterior approach (decompression, fixation and arthrodesis) allowed the clinical and radiological improvement of patients with cervical spondylotic myelopathy and who had an indication of the complementary anterior approach. Level of evidence II; Retrospective study.Sociedade Brasileira de Coluna2021-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000200078Coluna/Columna v.20 n.2 2021reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120212002223254info:eu-repo/semantics/openAccessTeixeira,Kelsen de OliveiraMoreno,Luis Enrique MoncadaMatos,Thiago DantasFleury,Rodrigo Barra CaiadoCosta,Herton Rodrigo TavaresDefino,Helton Luiz Aparecidoeng2021-05-18T00:00:00Zoai:scielo:S1808-18512021000200078Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2021-05-18T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? |
title |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? |
spellingShingle |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? Teixeira,Kelsen de Oliveira Spinal Osteophytosis Spinal Cord Diseases Cervical Vertebrae |
title_short |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? |
title_full |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? |
title_fullStr |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? |
title_full_unstemmed |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? |
title_sort |
CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY? |
author |
Teixeira,Kelsen de Oliveira |
author_facet |
Teixeira,Kelsen de Oliveira Moreno,Luis Enrique Moncada Matos,Thiago Dantas Fleury,Rodrigo Barra Caiado Costa,Herton Rodrigo Tavares Defino,Helton Luiz Aparecido |
author_role |
author |
author2 |
Moreno,Luis Enrique Moncada Matos,Thiago Dantas Fleury,Rodrigo Barra Caiado Costa,Herton Rodrigo Tavares Defino,Helton Luiz Aparecido |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Teixeira,Kelsen de Oliveira Moreno,Luis Enrique Moncada Matos,Thiago Dantas Fleury,Rodrigo Barra Caiado Costa,Herton Rodrigo Tavares Defino,Helton Luiz Aparecido |
dc.subject.por.fl_str_mv |
Spinal Osteophytosis Spinal Cord Diseases Cervical Vertebrae |
topic |
Spinal Osteophytosis Spinal Cord Diseases Cervical Vertebrae |
description |
ABSTRACT Objective: Cervical spondylotic myelopathy (CSM) is the main cause of spinal dysfunction in adults. The type of surgical approach to treatment is not well defined in the literature. The objective is to report the results obtained through isolated posterior decompression in patients with a previous indication of the combined approach for the treatment of cervical spondylotic myelopathy. Methods: This is a therapeutic study with level of evidence II, according to the Oxford classification table. Ten patients who underwent isolated posterior approach surgery for the treatment of cervical spondylotic myelopathy were evaluated through imaging and questionnaires (visual analog scale, mJOA-Br scale – Brazilian Portuguese version of the Modified Japanese Orthopedic Association Scale, and Neck Disability Index (NDI)), comparing pre- and postoperative results. Results: Late evaluation of the 10 patients was performed in the period ranging from 24 to 36 months (mean of 30.3 months ± 7.25) following surgery. The comparison of the clinical and radiological parameters in all patients showed a statistical difference in relation to the preoperative scales applied and to the degree of cervical lordosis (p <0.05), evidencing improvement after decompression and posterior fixation of the cervical spine. Conclusions: The isolated posterior approach (decompression, fixation and arthrodesis) allowed the clinical and radiological improvement of patients with cervical spondylotic myelopathy and who had an indication of the complementary anterior approach. Level of evidence II; Retrospective study. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-01 |
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=S1808-18512021000200078 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000200078 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120212002223254 |
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.2 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_ |
1752126616464523264 |