Surgical treatment of patients with cervical myeloradiculopathy and coexistent multiple sclerosis: report of 15 patients with long-term follow-up

Journal of Spinal Disorders & Techniques
Paul M ArnoldAlexander R Vaccaro

Abstract

A case series of 15 patients. To report a series of patients with coexisting multiple sclerosis (MS) and progressive myeloradiculopathy who were successfully treated with surgical decompression, fusion, and fixation. MS and cervical myeloradiculopathy share clinical signs, including gait dysfunction, motor weakness, and hyperreflexia. Distinguishing between these 2 entities may be difficult, and in rare cases they may coexist. Controversy exists regarding the use of surgery in patients with MS as a treatment for degenerative cervical spondylotic disease. This case series was composed of 15 patients (10 female, 5 male, average age 50.1 y) with a confirmed diagnosis of MS, who presented with worsening cervical myeloradiculopathy. Outcome measures included neurologic assessment, subjective reports of pain and paraesthesias, and radiographic fusion rates. The patients had neurologic findings consistent with both diseases, and some had radicular findings associated with degenerative disk disease. All patients had magnetic resonance evidence of cervical spinal cord or nerve root compression from an abnormal disk/osteophyte complex, hypertrophied ligament, or both. The average follow-up was 47 months. Thirteen patients showed objectiv...Continue Reading

Citations

May 21, 2014·Surgical Neurology International·Nancy E Epstein, Malcolm Gottesman
Aug 5, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Lee A TanVincent C Traynelis
Nov 11, 2014·JBJS Reviews·Bennett D GrimmBruce V Darden

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