CERVICAL SPONDYLOTIC MYELOPATHY: IS A COMBINED APPROACH NECESSARY?

Detalhes bibliográficos
Autor(a) principal: Teixeira,Kelsen de Oliveira
Data de Publicação: 2021
Outros Autores: Moreno,Luis Enrique Moncada, Matos,Thiago Dantas, Fleury,Rodrigo Barra Caiado, Costa,Herton Rodrigo Tavares, Defino,Helton Luiz Aparecido
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.
id SBCO-1_9d00beb26efef3a2fd7b67e04decf1cd
oai_identifier_str oai:scielo:S1808-18512021000200078
network_acronym_str SBCO-1
network_name_str Coluna/Columna
repository_id_str
spelling 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