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[Surgical treatment and its related factors of cervical spondylotic myelopathy]
Lian-shun Jia1, Wen Yuan, Xiong-sheng Chen
1Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China. gaohui229@sina.com
Objective:
To observe the results and its related factors of surgical treatment of cervical spondylotic myelopathy (CSM).
Methods:
Totally 365 CSM patients were reviewed. All patients were treated with anterior cervical decompression and fusion with autogenous iliac bone or titanium mesh cages with local bone graft. Anterior locking plates were used for fixation. Five patients received revision surgery 3 to 6 months after the initial operation.
Results:
Clinical function was excellent in 175 patients (47.94%), good in 129 patients (35.34%), fair in 44 patients (12.05%), and poor in 17 patients (4.66%).
Conclusion:
Anterior cervical decompresion of CSM has good clinical efficacy. The timing of operation, disease severity, and surgical technique are the important factors affecting the outcome of treatment.