Clinical Results of Median Corpectomy in Cervical Spondylotic Patients with Myelopathy

AIM: To determine the factors in choosing the right surgical technique for patients with cervical spondylotic myelopathy. MATERIAL and METHODS: 60 patients were operated with anterior median corpectomy and anterior fusion for cervical myelopathy in Ankara Ataturk Education and Research Hospital between the years 2006-2011. All data were obtained from patient files retrospectively. Patients were evaluated in the preoperative and early postoperative stages and 45 days after discharge by referring to their neurological examinations, Japanese Orthopaedic Association (JOA) and Nurick scores and radiological findings. RESULTS: The average age of the patients was 53.8 +/- 9.9 years (38-78) and 45 were male (75%) and 15 were female (25%). Diabetics made up 16.7% (n=10) of the group and nondiabetics 83.3% (n=50). Of the nondiabetic patients, the Nurick score on the first month after surgery was statistically lower than the preoperative and after 24 hours Nurick score (p<0.001). In the patients in the group that had 1 or 2 myelopathic findings, the Nurick score on the first month after surgery was statistically lower than the preoperative and after 24 hours Nurick score (p<0.001). The JOA score one month after surgery was statistically lower in patients with myelomalacia than in patients without myelomalacia (p=0.002). CONCLUSION: Median corpectomy and anterior fusion technique had better scores in patients that had few and early myelopathic symptoms, no myelomalacia on MRI, and no systemic disease.

Yazar Istemen, Ismail
Ozdogan, Selcuk
Duzkalir, Ali Haluk
Senturk, Salim
Yildirim, Timur
Okutan, Mehmet Ozerk
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2240
Tek Biçim Adres 10.5137/1019-5149.JTN.10354-14.1
Konu Başlıkları Anterior cervical fusion
Cervical spondylosis
Median corpectomy
Myelopathy
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı TURKISH NEUROSURGERY
Dergi Cilt Bilgisi 26
Dergi Sayısı 1
Sayfalar 90 - 96
Yayın Yılı 2016
Eser Adı
[dc.title]
Clinical Results of Median Corpectomy in Cervical Spondylotic Patients with Myelopathy
Yazar
[dc.contributor.author]
Istemen, Ismail
Yazar
[dc.contributor.author]
Ozdogan, Selcuk
Yazar
[dc.contributor.author]
Duzkalir, Ali Haluk
Yazar
[dc.contributor.author]
Senturk, Salim
Yazar
[dc.contributor.author]
Yildirim, Timur
Yazar
[dc.contributor.author]
Okutan, Mehmet Ozerk
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
TURKISH NEUROSURGICAL SOC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
AIM: To determine the factors in choosing the right surgical technique for patients with cervical spondylotic myelopathy. MATERIAL and METHODS: 60 patients were operated with anterior median corpectomy and anterior fusion for cervical myelopathy in Ankara Ataturk Education and Research Hospital between the years 2006-2011. All data were obtained from patient files retrospectively. Patients were evaluated in the preoperative and early postoperative stages and 45 days after discharge by referring to their neurological examinations, Japanese Orthopaedic Association (JOA) and Nurick scores and radiological findings. RESULTS: The average age of the patients was 53.8 +/- 9.9 years (38-78) and 45 were male (75%) and 15 were female (25%). Diabetics made up 16.7% (n=10) of the group and nondiabetics 83.3% (n=50). Of the nondiabetic patients, the Nurick score on the first month after surgery was statistically lower than the preoperative and after 24 hours Nurick score (p<0.001). In the patients in the group that had 1 or 2 myelopathic findings, the Nurick score on the first month after surgery was statistically lower than the preoperative and after 24 hours Nurick score (p<0.001). The JOA score one month after surgery was statistically lower in patients with myelomalacia than in patients without myelomalacia (p=0.002). CONCLUSION: Median corpectomy and anterior fusion technique had better scores in patients that had few and early myelopathic symptoms, no myelomalacia on MRI, and no systemic disease.
Açıklama
[dc.description]
WOS: 000372668500013
Açıklama
[dc.description]
PubMed: 26768874
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Anterior cervical fusion
Konu Başlıkları
[dc.subject]
Cervical spondylosis
Konu Başlıkları
[dc.subject]
Median corpectomy
Konu Başlıkları
[dc.subject]
Myelopathy
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1019-5149
İlk Sayfa Sayısı
[dc.identifier.startpage]
90
Son Sayfa Sayısı
[dc.identifier.endpage]
96
Dergi Adı
[dc.relation.journal]
TURKISH NEUROSURGERY
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
26
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5137/1019-5149.JTN.10354-14.1
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2240
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
26
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
14 Temmuz 2024 05:51
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Tıklayınız
patients Nurick anterior surgery preoperative myelomalacia statistically findings scores technique cervical myelopathic myelopathy fusion corpectomy symptoms systemic Diabetics female disease (n=10) (n=50) nondiabetics without CONCLUSION Median better nondiabetic median obtained 2006-2011 between Hospital Research Education
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