Surgical treatment for cervical spondylotic myelopathy in elderly patients: a retrospective study

Clinical Neurology and Neurosurgery
Jianwei ChenTao Han

Abstract

To analyze perioperetive clinical features and outcomes of surgical treatment for cervical spondylotic myelopathy (CSM) in elderly patients. From 2006 to 2013, we retrospectively reviewed 136 patients with CSM who underwent surgery. The patients were divided into two groups: 70 years or older (elderly group, 58 patients) and younger than 70 years (younger group, 78 patients). The course of disease, surgical outcome, morbidities, and postoperative complications were analyzed. In the elderly group, follow-up lasted 9-76 months (mean 39.6 months), the course of disease was 23.7 months (range 4-72 months). Anterior cervical decompression and fusions and posterior laminectomy and fixation were performed in 24 and 34 patients, respectively. The operative time averaged 103 min (range 48-210 min). In the younger group, follow-up lasted 10-71 months (mean 37.8 months), the course of disease was 12.6 months (range 2-58 months). Anterior cervical decompression and fusions and posterior laminectomy and fixation were performed in 75 and three patients, respectively. The prevalence of chronic diseases and postoperative complications were higher in the elderly group than the younger group. The recovery rates of JOA score were 40.82 ± 11.20% i...Continue Reading

References

Aug 20, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·T TaniJ Kimura
Mar 8, 2008·Surgical Neurology·Langston T HollyJeffrey C Wang
Nov 30, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Go YoshidaNaoki Ishiguro
Aug 21, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Go YoshidaNaoki Ishiguro

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Citations

Nov 26, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Silky ChotaiClinton J Devin
Feb 13, 2017·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jörg Klekamp

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