Surgically treated cervical myelopathy: a functional outcome comparison study between multilevel anterior cervical decompression fusion with instrumentation and posterior laminoplasty

Seng, Chusheng; Tow, Benjamin; Siddiqui, Rehana; Srivastava, Abhishek; Wang, Lushun; Yew, Andy Khye Soon; Yeo, William; Khoo, Rebecca Shu Hui; Balakrishnan, Nidu Maran Shanmugam; Razak, Hamid Rahmatullah Bin Abd; Chen, John L. T.; Guo, Chang; Tan, Seang Beng; Yue, Wai-Mun

doi:10.1016/j.spinee.2013.02.038

Cited by 85 publications

(46 citation statements)

References 38 publications

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“…The remaining 115 reports underwent a detailed and comprehensive evaluation. Finally, ten studies were included in this meta-analysis [14][15][16][17][18][19][20][21][22][23]. Table 1 summarizes the baseline characteristics assessment.…”

Section: Resultsmentioning

confidence: 99%

“…Hirai et al [20] Liu T et al [14] Seng C et al [22] Shibuya S et al [18] Wada E et al [21] Yonenobu K et al [19] Total (95% CI)…”

Section: Study or Subgroupmentioning

confidence: 99%

“…Charles C et al [17] Fehlings MG et al [23] Ghogawala Z et al [15] Hirai et al [20] Kristof RA et al [16] Liu T et al [14] Seng C et al [22] Wada E et al [21] Yonenobu K et al [19] Total (95% CI)…”

Section: Study or Subgroupmentioning

confidence: 99%

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Comparison of anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy

et al. 2015

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In summary, our meta-analysis suggested that a definitive conclusion could not be reached regarding which surgical approach is more effective for the treatment of multilevel CSM. Although anterior approach was associated with better postoperative neural function than posterior approach in the treatment of multilevel CSM, there was no apparent difference in the neural function recovery rate between the two approaches. Higher rates of surgery-related complication and reoperation should be taken into consideration when anterior approach is used for patients with multilevel CSM.

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Section: Resultsmentioning

confidence: 99%

“…Hirai et al [20] Liu T et al [14] Seng C et al [22] Shibuya S et al [18] Wada E et al [21] Yonenobu K et al [19] Total (95% CI)…”

Section: Study or Subgroupmentioning

confidence: 99%

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Comparison of anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy

et al. 2015

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“…Anterior cervical discectomy and fusion (ACDF), posterior laminoforaminotomy, laminoplasty, and laminectomy with fusion have been supported by well-designed mid-and long-term studies [1][2][3][4]. These surgical procedures provide successful means of relieving cervical radiculopathy and arresting the progression of cervical myelopathy, though each has associated complications which may lead to high rates of recurrence, adjacent segment degeneration (ASD), or need for revision surgery [2, 5-7, 8••].…”

Section: Introductionmentioning

confidence: 99%

Cervical disc replacement surgery: indications, technique, and technical pearls

Leven

Meaike

Radcliff

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of review Cervical disc replacement (CDR) is a surgical option for appropriately indicated patients, and high success rates have been reported in the literature. Complications and failures are often associated with patient indications or technical variables, and the goal of this review is to assist surgeons in understanding these factors. Recent findings Several investigations have been published in the last 5 years supporting the use of CDR in specific patient populations. CDR has been shown to be comparable or favorable to anterior cervical discectomy and fusion in several meta-analyses and mid-term follow-up studies. Summary CDR was developed as a technique to preserve motion following a decompression procedure while minimizing several of the complications associated with fusion and posterior cervical spine procedures. Though success with cervical fusion and posterior foraminotomy has been well documented in the literature, high rates of mid-and long-term complications have been clearly established. CDR has also been associated with several complications and challenges with regard to surgical technique, though improvements in implant design have lead to an increase in utilization. Several devices currently exist and vary in terms of material, design, and outcomes. This review paper discusses indications, surgical technique, and technical pearls and reviews the CDR devices currently available.

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“…6,16 The need to have a more definitive objective assessment tool that would further aid in the surgical decision-making process for cervical myelopathy has led us to the creation of the myelopathy scale (MS; Fig. 1).…”

mentioning

confidence: 99%

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

El-Zuway

Farrokhyar

Kachur

2016

SPI

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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.

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Surgically treated cervical myelopathy: a functional outcome comparison study between multilevel anterior cervical decompression fusion with instrumentation and posterior laminoplasty

Cited by 85 publications

References 38 publications

Comparison of anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy

Comparison of anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy

Cervical disc replacement surgery: indications, technique, and technical pearls

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

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