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Outcomes of Surgical Decompression in Patients With Very Severe Degenerative Cervical Myelopathy.


ABSTRACT: STUDY DESIGN:A prospective observational international study. OBJECTIVE:The aim of this study was to evaluate outcomes of decompressive surgery in patients with very severe degenerative cervical myelopathy (DCM). SUMMARY OF BACKGROUND DATA:Although decompressive surgery has been evidenced as a safe and effective approach for patients with myelopathic deficiencies, studies have suggested residual disability following treatment in patients with more severe disease presentation. METHODS:Postoperative outcomes of 60 patients with very severe DCM (modified Japanese Orthopaedic Association [mJOA] score ?8) were compared to outcomes of 188 patients with severe DCM (mJOA 9-11). Postimputation follow-up rate was 93.1%. Unadjusted and adjusted analyses were performed using two-way repeated measures of covariance. RESULTS:The two cohorts were similar in demographics, length of duration of myelopathy symptoms, source of stenosis, and surgical approaches used to decompress the spine. The very severe and severe cohorts differed in preoperative Nurick grades (4.97 vs. 3.91, respectively, P?

SUBMITTER: Kopjar B 

PROVIDER: S-EPMC6066419 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Outcomes of Surgical Decompression in Patients With Very Severe Degenerative Cervical Myelopathy.

Kopjar Branko B   Bohm Parker E PE   Arnold Joshua H JH   Fehlings Michael G MG   Tetreault Lindsay A LA   Arnold Paul M PM  

Spine 20180801 16


<h4>Study design</h4>A prospective observational international study.<h4>Objective</h4>The aim of this study was to evaluate outcomes of decompressive surgery in patients with very severe degenerative cervical myelopathy (DCM).<h4>Summary of background data</h4>Although decompressive surgery has been evidenced as a safe and effective approach for patients with myelopathic deficiencies, studies have suggested residual disability following treatment in patients with more severe disease presentatio  ...[more]

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