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[Treatment of multi-segmental cervical spondylosis by long or segmented anterior cervical decompression and fixation
Chunyue Duan1, Jianhuang Wu, Jianzhong Hu
1Department of Spine Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Objective:
To investigate the clinical efficacy of two different anterior cervical surgeries in treatment of multi-segmental cervical spondylosis.
Methods:
A total of 86 patients with multi-segmental cervical spondylosis were treated by anterior cervical surgery procedure. Among them, 62 and 24 cases were involved in three and four gap, respectively. Each patient underwent the surgery of long or segmented anterior cervical decompression and fixation. Preoperative and postoperative cervical curvature change, internal fixation stability, fusion rate and nerve function were evaluated.
Results:
All patients were successfully completed the operation, segmented surgery showed better cervical lordosis recovery, but there were no significant difference between long and segmented anterior cervical surgery in blood loss and recovery of neurological function (P> 0.05).
Conclusion:
The segmented anterior cervical surgery has advantages in the treatment of multisegmental cervical spondylosis.
