scholarly journals Placement of Titanium Mesh in Hybrid Decompression Surgery to Avoid Graft Subsidence in Treatment of Three-Level Cervical Spondylotic Myelopathy: Cephalad or Caudal?

2018 ◽  
Vol 24 ◽  
pp. 9479-9487 ◽  
Author(s):  
Kaiqiang Sun ◽  
Jingchuan Sun ◽  
Shunmin Wang ◽  
Ximing Xu ◽  
Yuan Wang ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Decompression Surgery ◽  
Titanium Mesh ◽  
Graft Subsidence

scholarly journals Sagittal Alignment of a Strut Graft Affects Graft Subsidence and Clinical Outcomes of Anterior Cervical Corpectomy and Fusion

2017 ◽  
Vol 11 (5) ◽  
pp. 739-747 ◽  
Author(s):  
Koun Yamauchi ◽  
Kazunari Fushimi ◽  
Kei Miyamoto ◽  
Akira Hioki ◽  
Katsuji Shimizu ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Cervical Spondylotic Myelopathy ◽  
Sagittal Alignment ◽  
Clinical Results ◽  
Recovery Ratio ◽  
Strut Graft ◽  
Cervical Corpectomy ◽  
Group I ◽  
Graft Subsidence ◽  
Anterior Cervical Corpectomy

<sec><title>Study Design</title><p>Retrospective study.</p></sec><sec><title>Purpose</title><p>The purpose of this study was to investigate the influence of sagittal alignment of the strut graft on graft subsidence and clinical outcomes after anterior cervical corpectomy and fusion (ACCF).</p></sec><sec><title>Overview of Literature</title><p>ACCF is a common technique for the treatment of various cervical pathologies. Although graft subsidence sometimes occurs after ACCF, it is one cause for poor clinical results. Malalignment of the strut graft is probably one of the factors associated with graft subsidence. However, to the best of our knowledge, no prior reports have demonstrated correlations between the alignment of the strut graft and clinical outcomes.</p></sec><sec><title>Methods</title><p>We evaluated 56 patients (33 men and 23 women; mean age, 59 years; range, 33–84 years; 45 with cervical spondylotic myelopathy and 11 with ossification of the posterior longitudinal ligament) who underwent one- or two-level ACCF with an autogenous fibular strut graft and anterior plating. The Japanese Orthopaedic Association (JOA) score recovery ratio for cervical spondylotic myelopathy was used to evaluate clinical outcomes. The JOA score and lateral radiograms were evaluated 1 week and 1 year postoperatively. Patients were divided into two groups (a straight group [group I] and an oblique group [group Z]) based on radiographic assessment of the sagittal alignment of the strut graft.</p></sec><sec><title>Results</title><p>Group I showed a significantly greater JOA score recovery ratio (<italic>p</italic>&lt;0.05) and a significantly lower graft subsidence than group Z (<italic>p</italic>&lt;0.01).</p></sec><sec><title>Conclusions</title><p>Our findings suggest that a straight alignment of the strut graft provides better clinical outcomes and lower incidence of graft subsidence after ACCF. In contrast, an oblique strut graft can lead to significantly increased strut graft subsidence and poor clinical results.</p></sec>

Cervical Decompression Surgery for Cervical Spondylotic Myelopathy and Concomitant Hypertension

Spine ◽  
2017 ◽  
Vol 42 (12) ◽  
pp. 903-908 ◽  
Author(s):  
Liang Yang ◽  
Cheng Yang ◽  
Xiaodong Pang ◽  
Duanming Li ◽  
Xiongsheng Chen ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Decompression Surgery ◽  
Concomitant Hypertension

10. Cervical decompression surgery improves dynamic balance in cervical spondylotic myelopathy patients

2019 ◽  
Vol 19 (9) ◽  
pp. S5
Author(s):  
Ram Haddas ◽  
Rajesh G. Arakal ◽  
Theodore A. Belanger ◽  
Akwasi Boah
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Dynamic Balance ◽  
Decompression Surgery

scholarly journals Acute Cervical Epidural Hematoma, Screw Pullout, and Esophageal Perforation After Anterior Cervical Corpectomy Surgery: Report of a Case

2015 ◽  
Vol 100 (2) ◽  
pp. 334-340 ◽  
Author(s):  
Ye Li ◽  
Qing-San Zhu ◽  
Jing-Chen Liu ◽  
Yun-Tao Wu
Keyword(s):  
Esophageal Perforation ◽  
Cervical Spondylotic Myelopathy ◽  
Epidural Hematoma ◽  
Esophageal Injury ◽  
Titanium Mesh ◽  
Cervical Corpectomy ◽  
Cervical Hematoma ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery ◽  
Anterior Cervical Corpectomy

To report a series of complications related to anterior cervical surgery in the same patient. There have been many reports of complications related to anterior cervical surgeries. These include cervical hematoma, instrumentation extrusion, or esophageal injury after anterior cervical decompression. However, there have been no reports of all these complications occurring in 1 patient. This is our report of a patient who experienced all 3 of these complications. The patient was a 73-year-old man suffering from cervical spondylotic myelopathy who was treated with C5 anterior cervical corpectomy and fusion with titanium mesh and bone graft. The patient successively experienced cervical hematoma, screw pullout, and esophageal perforation, and was treated accordingly. Although the patient suffered a series of complications after anterior cervical corpectomy, all the complications were treated successfully. It serves as a caution that a first complication such as hematoma in anterior cervical corpectomy with fusion should be given enough attention to prevent further complications.

scholarly journals Myelopathic signs and functional outcome following cervical decompression surgery: a proposed myelopathy scale

2016 ◽  
Vol 24 (6) ◽  
pp. 871-877 ◽  
Author(s):  
Salem El-Zuway ◽  
Forough Farrokhyar ◽  
Edward Kachur
Keyword(s):  
Functional Outcome ◽  
Cervical Spondylotic Myelopathy ◽  
Japanese Orthopaedic Association ◽  
Inverse Correlation ◽  
Decompression Surgery ◽  
Surgery Patient ◽  
Functional Outcome Measures ◽  
Spinal Cord Dysfunction ◽  
The Impact ◽  
Spearman’S Correlation

OBJECTIVE Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction in adults. In spite of this, the impact of the changes in myelopathic signs following cervical decompression surgery and their relationship to functional outcome measures remains unclear. The main goals of our study were to prospectively assess changes in myelopathic signs with a functional outcome scale (the modified Japanese Orthopaedic Association [mJOA] scale) following cervical decompression surgery and to objectively test a proposed new myelopathy scale (MS). METHODS Between 2008 and 2011, 36 patients with CSM were observed following cervical decompression surgery. Patient data including mJOA and MS scores were prospectively collected and analyzed preoperatively and at 1 year after surgery. RESULTS In this cohort, reflex, Babinski, and proprioception signs showed statistically significant improvement following surgery at 1 year (p = < 0.001, p = 0.008, and p = 0.015, respectively). A lesser degree of improvement was observed with the Hoffman sign (p = 0.091). No statistically significant improvement in clonus occurred (p = 0.368). There was a significant improvement in mJOA (p ≤ 0.001) and MS (p ≤ 0.001) scores at 1 year compared with the preoperative scores. The results showed an inverse correlation between MS and mJOA scores both pre- and postoperatively (Spearman's correlation coefficient = −0.202 preoperatively and −0.361 postoperatively). CONCLUSIONS Improvement in myelopathic signs was noted following cervical decompression surgery in patients with CSM. The newly devised MS scale demonstrated these findings, and the new MS scale correlates with improvement in mJOA scores in this patient cohort.

Diabetes Does Not Adversely Affect Neurological Recovery and Reduction of Neck Pain After Posterior Decompression Surgery for Cervical Spondylotic Myelopathy

Spine ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Satoshi Nori ◽  
Narihito Nagoshi ◽  
Kenji Yoshioka ◽  
Kenya Nojiri ◽  
Yuichiro Takahashi ◽  
...  
Keyword(s):  
Neck Pain ◽  
Cervical Spondylotic Myelopathy ◽  
Neurological Recovery ◽  
Decompression Surgery ◽  
Posterior Decompression

scholarly journals Peri-operative Nursing for Treatment of Cervical Spondylotic Myelopathy with Anterior Cervical Decompression Surgery for Anterior Cervical Spine

2015 ◽  
Vol 4 (1) ◽  
pp. 5
Author(s):  
Na Zhang
Keyword(s):  
Cervical Spine ◽  
Cervical Spondylotic Myelopathy ◽  
Clinical Effect ◽  
Decompression Surgery ◽  
Rehabilitation Training ◽  
Anterior Cervical Decompression ◽  
Operative Complications ◽  
Effect Of Treatment ◽  
Post Operative Complications

<strong>Objective: </strong>To analyze the clinical effect of peri-operative nursing for treatment of cervical spondylotic myelopathy (CSM) with anterior cervical decompression surgery for anterior cervical spine. <strong>Method: </strong>Select 23 cases of CSM with anterior cervical decompression surgery for anterior cervical spine conducted by the department from August 2013 to January 2015, provide pre-operative nursing, post-operative nursing and rehabilitation training, and then carry out the observation and nursing of complications. <strong>Result: </strong>23 patients show good clinical effect and have no post-operative complications or nursing complications. <strong>Conclusion: </strong>Nurses should pay attention to the requirements for nursing at the beginning of peri-operative period for treatment of CSM with anterior cervical decompression surgery for anterior cervical spine, and take good actions to prevent all kinds of complications so as to help better improve the effect of treatment and nursing.

scholarly journals Two Types of Laminoplasty for Cervical Spondylotic Myelopathy at Multiple Levels

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Shigeru Hirabayashi ◽  
Takashi Matsushita
Keyword(s):  
Spinal Cord ◽  
Cervical Spondylotic Myelopathy ◽  
Spinal Canal Stenosis ◽  
Decompression Surgery ◽  
Pathological Changes ◽  
Posterior Decompression ◽  
Element Analysis ◽  
Pathological Analysis ◽  
Canal Stenosis ◽  
Multiple Levels

Based on the results from pathological analysis and computer simulations by means of finite element analysis that were reported before, the pathological changes of cervical spondylotic myelopathy (CSM) seem to begin at the posterolateral parts of the spinal cord, because the mechanical stress is mainly concentrated in these parts. With progression of the compression, the pathological changes become distributed to a wider area of the spinal cord. In patients with spinal canal stenosis, these changes spread to multiple levels of the cervical spine. Therefore, posterior decompression surgery at multiple levels such as cervical laminoplasty is thought to be reasonable.

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