Mielopatía cervical: análisis retrospectivo de los resultados quirúrgicos de 54 pacientes tratados mediante discectomía y fusión intersomática por vía anterior

Martin, Ruth Elwood; Carda, J; Montiaga, F.; Pinto, Jesús; Sanz, F.; Paternina, B.; Trigueros, F.; Izquierdo, J.M.; Vázquez-Barquero, Alfonso

doi:10.1016/s1130-1473(05)70406-1

Cited by 5 publications

(1 citation statement)

References 72 publications

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“…Likewise, during the evaluations conducted at three and six months following surgery, it was noted that the patients who perceived an improvement in paresthesia symptoms had relapses between three and six months after surgery. The results of a retrospective analysis by R. Martin et al 15 of 54 patients who were submitted to the same procedure mention an improvement in the Nurick scale in 64.2% of the patients who were treated surgically, while in our study there was an improvement in 60% of the patients at six months following surgery. We observed neurological deterioration in 11% of our patients while R. Martin et al mention that 9.4% of the patients presented neurological deterioration.…”

Section: Discussionsupporting

confidence: 51%

Clinical and Functional Results in Patients With Cervical Spondylotic Myelopathy Treated Surgically by Anterior Approach in a Tertiary Health Care Center

et al. 2018

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Objective: To evaluate the clinical and functional results in patients with cervical spondylotic myelopathy treated surgically by anterior approach in a reference center. Methods: An observational, longitudinal, analytical study was carried out. The patients were evaluated using the JOA, Nurick and SF12v2 scales at hospital admission, at 3 and 6 months after surgery, analyzing the data with the Student's T test in the IBM SPSS Statistics version 24. Results: The male sex predominated, the mean age was 61 years; the mean JOA score before surgery, at 3 and 6 months was 8, 10.9, and 11.6, respectively. The Nurick scale obtained a presurgical score, at 3 and 6 months of 2.8, 2.2, and 1.9, respectively. Regarding the quality of life (PCS), 93.3% of the patients were found to be below the mean, 2.2% in the mean, and 4.5% above the mean, while at 6 months, 91.1% of the patients were below the mean, 6.7% in the mean, and 2.2% above the mean. In the preoperative evaluation the SF 12v2 scale, 68.9% of the patients were below the mean, 2.2% in the mean, and 28.9% above the mean, being that at 6 months, 31.1% of the patients were below the mean, 15.6% in the mean, and 53.3% above the mean. A statistically significant improvement was observed with the JOA and Nurick scales from preoperative to 3 and 6 months (p<0.05) with a statistically significant difference in the mental component of quality in the same periods. Conclusions: Anterior approach decompression gives a significant clinical improvement at 3 and 6 months. However, this improvement does not correlate with the patient's perception of his or her health condition. Level of Evidence III; Case control study.

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Section: Discussionsupporting

confidence: 51%

Clinical and Functional Results in Patients With Cervical Spondylotic Myelopathy Treated Surgically by Anterior Approach in a Tertiary Health Care Center

et al. 2018

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Epidemiology of persistent iatrogenic spinal cord injuries in Western Norway

et al. 2016

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ObjectivesIatrogenic spinal cord injuries (SCIs) caused by invasive procedures or surgical interventions have previously been reported as case studies. The primary objective of this study was to investigate and analyze the incidence, etiology, and prognosis of iatrogenic SCI in Western Norway.MethodsMedical records of all 183 patients admitted to the SCU between 01.01.2004 and 31.12.2013 were reviewed. Gender, age, diagnosis, iatrogenic medical procedure, symptoms and findings before and after injury, mechanism of injury, level of injury, and ASIA Impairment Scale (AIS) score prior iatrogenic SCI, at admittance and discharge were recorded, as were the length of the period prior to admittance and the length of stay.ResultsTwenty‐three (12.5%; 14 men, nine women) of 183 patients met the criteria for iatrogenic SCI. The annual incidence rate was estimated 2,3 per 1,000,000 (SD ±1.0). Mean age at iatrogenic SCI was 55.5 years (range 16–79 years). Intervention for cervical spinal stenosis was the leading cause of iatrogenic SCI, followed by operations on the aorta and spine. Iatrogenic SCIs was most frequently located on the thoracic level. The patients suffered from clinical incomplete injuries (AIS score C and D) both at admittance and discharge from the SCU. Most patients improved, but no patient recovered completely after SCI.ConclusionAlthough the annual incidence rate of iatrogenic SCI is low in Norway, individual consequences are serious. Increased awareness of the causes of SCI may decrease the risk of iatrogenic SCI.

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Low-intensity pulsed ultrasound promotes spinal fusion and enhances migration and proliferation of MG63s through sonic hedgehog signaling pathway

Zhou

et al. 2018

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Mielopatía cervical: análisis retrospectivo de los resultados quirúrgicos de 54 pacientes tratados mediante discectomía y fusión intersomática por vía anterior

Abstract: Treatment optimisation of the patient suffering cervical spondylotic myelopathy requires individualised evaluation. Prospective randomised studies are needed to answer the questions when and how to operate.

Cited by 5 publications

References 72 publications

Clinical and Functional Results in Patients With Cervical Spondylotic Myelopathy Treated Surgically by Anterior Approach in a Tertiary Health Care Center

Clinical and Functional Results in Patients With Cervical Spondylotic Myelopathy Treated Surgically by Anterior Approach in a Tertiary Health Care Center

Epidemiology of persistent iatrogenic spinal cord injuries in Western Norway

Low-intensity pulsed ultrasound promotes spinal fusion and enhances migration and proliferation of MG63s through sonic hedgehog signaling pathway

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