Long-Term Outcomes of a Combined Surgical Approach for Cervical Spondylotic Myelopathy
Author Information
Author(s): Chen Szu-Wei, Yeh Kuang-Ting, Peng Cheng-Huan, Chang Chia-Ming, Chen Hao-Wen, Yu Tzai-Chiu, Chen Ing-Ho, Wang Jen-Hung, Yang Wan-Ting, Wu Wen-Tien, Tsai Chang-Youh
Primary Institution: Tzu Chi University
Hypothesis
This study aimed to assess the long-term efficacy of modified expansive open-door laminoplasty combined with short-level anterior cervical fusion in patients with multilevel cervical spondylotic myelopathy.
Conclusion
The combined surgical approach effectively improved cervical alignment, decompression, and range of motion over a nine-year follow-up period.
Supporting Evidence
- Patients showed significant improvements in cervical alignment and myelopathy symptoms after surgery.
- The mean JOA score improved significantly from preoperative to postoperative assessments.
- Adjacent segment degeneration was noted, particularly in patients with reduced preoperative disk height.
- ROM decreased significantly post-surgery but was partially preserved at adjacent segments.
- The study highlights the importance of monitoring adjacent disk heights to predict long-term outcomes.
Takeaway
Doctors combined two surgeries to help people with neck problems feel better and move their necks more easily, and it worked well for a long time.
Methodology
A retrospective analysis of 124 patients treated with MEOLP and ACF between 2011 and 2015, monitored for long-term outcomes.
Potential Biases
Potential confounding variables such as age and baseline severity of myelopathy may introduce bias.
Limitations
The study's retrospective design and single-center nature limit the generalizability of the findings.
Participant Demographics
The cohort consisted of 64 male and 60 female patients, with a mean age of 56.71 years.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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