Anterior Versus Posterior Approach for Four-level Cervical Spondylotic Myelopathy

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	Anterior Versus Posterior Approach for Four-level Cervical Spondylotic Myelopathy
	Lin, Dasheng ; Zhai, Wenliang ; Lian, Kejian ; Kang, Liangqi ; Ding, Zhenqi ; Lin DS(林达生) ; Zhai WL(翟文亮) ; Lian KJ(练克俭) ; Kang LQ(康两期) ; Ding ZQ(丁真奇)
刊名	http://dx.doi.org/10.3928/01477447-20131021-28
	2013
关键词	LONGITUDINAL LIGAMENT PLATE FIXATION CORPECTOMY FUSION OSSIFICATION DISKECTOMY LAMINOPLASTY DECOMPRESSION SURGERY SPINE
英文摘要	The purpose of this study was to compare the results of 2 surgical strategies for 4-level cervical spondylotic myelopathy: a hybrid procedure using anterior cervical diskectomy and fusion (ACDF) combined with segmental corpectomy versus posterior laminectomy and fixation. Between 2002 and 2010, fifty-one patients with consecutive 4-level cervical spondylotic myelopathy were treated surgically, with 27 patients undergoing the hybrid procedure and 24 undergoing posterior laminectomy and fixation. Radiologic data were compared between the 2 groups, including cervical curvature and cervical range of motion (ROM) in the sagittal plane. Pre- and postoperative neurological status was evaluated using the Japanese Orthopaedic Association (JOA) scoring system and the Nurick grading system. Mean ROM at last follow-up was not significantly different between the 2 groups (P>.05). In the hybrid group, mean JOA score and Nurick grade improved from 9.6+/-1.4 and 2.74+/-0.45 respectively, preoperatively, to 13.9+/-1.3 and 0.86+/-0.38 respectively, postoperatively. In the fixation group, mean JOA score and Nurick grade improved from 9.4+/-1.2 and 2.81+/-0.42 respectively, preoperatively, to 13.1+/-1.5 and 1.32+/-0.36 respectively, postoperatively. The JOA scores and Nurick grades at last follow-up were significantly different between the 2 groups (P<.05). In patients with preoperative cervical kyphosis, preoperative JOA score and Nurick grade were not significantly different between the 2 groups (P>.05); however, JOA scores and Nurick grades at last follow-up showed better improvement in the hybrid group than in the fixation group (P<.01). In patients with preoperative cervical lordosis, the preoperative and last follow-up JOA score and Nurick grade were not significantly different between the 2 groups (P>.05).
语种	英语
出版者	SLACK INC
内容类型	期刊论文
源URL	[http://dspace.xmu.edu.cn/handle/2288/93459]
专题	医学院－已发表论文
推荐引用方式 GB/T 7714	Lin, Dasheng,Zhai, Wenliang,Lian, Kejian,et al. Anterior Versus Posterior Approach for Four-level Cervical Spondylotic Myelopathy[J]. http://dx.doi.org/10.3928/01477447-20131021-28,2013.
APA	Lin, Dasheng.,Zhai, Wenliang.,Lian, Kejian.,Kang, Liangqi.,Ding, Zhenqi.,...&丁真奇.(2013).Anterior Versus Posterior Approach for Four-level Cervical Spondylotic Myelopathy.http://dx.doi.org/10.3928/01477447-20131021-28.
MLA	Lin, Dasheng,et al."Anterior Versus Posterior Approach for Four-level Cervical Spondylotic Myelopathy".http://dx.doi.org/10.3928/01477447-20131021-28 (2013).