• World Neurosurg · Sep 2024

    Anterior cervical discectomy and fusion for the treatment of pincer cervical spondylotic myelopathy: a single-center retrospective study.

    • Xinyu Zhang, Baogan Peng, Zengbiao Ma, Bing Wu, Chunyu Liu, and Yongchao Li.
    • Department of Orthopaedics, The Third Medical Center of PLA General Hospital, Beijing, China.
    • World Neurosurg. 2024 Sep 12.

    BackgroundAnterior and posterior compression of the cervical spinal cord is usually called pincer cervical spondylotic myelopathy (p-CSM), and surgery is generally recommended; however, there is some controversy about the choice of surgical approach because single anterior or posterior surgery cannot effectively relieve contralateral compression, and combined surgery may cause problems related to trauma and effects on cervical spine function.ObjectiveTo investigate the feasibility and indications of single anterior cervical discectomy and fusion (ACDF) for the treatment of p-CSM.MethodsThe data of 21 p-CSM patients who were treated with ACDF at a single center from 2019 to 2022 were collected. Neurologic status was evaluated by the Japanese Orthopedic Association scoring system. The radiologic parameters included the percentage of space occupied by the spinal canal, the cervical sagittal Cobb angle, and the cross-sectional area of the spinal cord before and after the operation. Complications and spinal cord compression rates were also observed. Correlations between the decompressive effects and various prognostic factors were statistically analyzed.ResultsThe mean follow-up period was 24.1 ± 3.55 months. The average Japanese Orthopedic Association score significantly increased, with a mean recovery rate of 65.88 ± 8.97%. The fusion rate was satisfactory. Correlation analysis revealed that the number of operation segments and age were important predictors of decompressive effects. There was no further deterioration of spinal cord function after the operation.ConclusionsACDF is an effective method for treating pincer spinal cord compression in terms of neurologic recovery, radiologic parameters, fusion rates, and complications, especially for patients younger than 60 years of age with single operative segments.Copyright © 2024 Elsevier Inc. All rights reserved.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…