Abstract
A retrospective analysis is presented of 46 patients with cervical spondylotic myelopathy treated by anterior cervical decompression and fusion. In each case the spondylosis was localised and a maximum of two intervertebral levels was fused. Operation had been carried out 7.0 to 14.4 years (mean 10.0 years) previously and the mean age at surgery was 60 years. Disability was such that no patient was able to work prior to operation and only 10 patients (22%) could walk unaided. The functional results, in terms of walking ability, show that 36 patients (78%) have been improved, six (13%) remain unchanged and in 4 patients (9%) the disease has progressed. Twenty nine patients (63%) were able to walk without aid at the time of review. On a subjective basis 30 patients (65%) felt that they had benefitted from surgery.
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Brain W R, Northfield, D W C, Wilkinson, M 1952 The neurological manifestations of cervical spondylosis. Brain 75: 187–225.
Brain W R, Wilkinson M 1967 Cervical Spondylosis, WB Saunders, Philadelphia.
Campbell A M G, Phillips D G 1960 Cervical lesions with neurological disorder. Differential diagnosis, treatment and prognosis. British Medical Journal 2: 481–485.
Cloward R B 1958 The anterior approach for removal of ruptured cervical discs. Journal of Neurosurgery 15: 602–617.
Cloward R B 1962 New Method of diagnosis and treatment of cervical disc disease. Clinical Neurosurgery 8: 93–127.
Crandall P H, Batzdorf U 1966 Cervical spondylotic myelopathy. Journal of Neurosugery 25: 57–66.
Crandall P H, Gregorius F K 1977 Long-term follow-up of surgical treatment of cervical spondylotic myelopathy. Spine 2: 139–146.
Dohn D F 1966 Anterior interbody fusion for treatment of cervical disc conditions. Journal of the American Medical Association 197: 897–900.
Galera R, Tovi D 1968 Anterior disc excision with interbody fusion in cervical spondylotic myelopathy and rhizopathy. Journal of Neurosurgery 28: 305–310.
Gregorius F K, Estrin T, Crandall P H 1976 Cervical spondylotic radiculopathy and myelopathy. A long-term follow-up study. Archives of Neurology 33: 618–625.
Guidetti B, Fortuna A 1969 Long-term results of surgical treatment of myelopathy due to cervical spondylosis. Journal of Neurosurgery 30: 714–721.
Harris P 1963 The anterior approach to excision of cervical discs. Proceedings of the Royal Society of Medicine 56: 807–808.
Lees F, Turner J W A 1963 Natural history and prognosis of cervical spondylosis. British Medical Journal 2: 1607–1610.
Lunsford D L, Bissonette D J, Zorub D S 1980 Anterior surgery for cervical disc disease. Part 2: Treatment of cervical spondylotic myelopathy in 32 cases. Journal of Neurosurgery 53: 12–19.
Northfield D W C 1955 Diagnosis and treatment of myelopathy due to cervical spondylosis. British Medical Journal 2: 1474–1477.
Phillips D G 1973 Surgical treatment of myelopathy with cervical spondylosis. Journal of Neurology, Neurosurgery and Psychiatry 36: 879–884.
Symon L, Lavender P 1967 The surgical treatment of cervical spondylotic myelopathy. Neurology 17: 117–127.
Verbiest H, Paz Y, Geuse H D 1966 Anterolateral surgery for cervical spondylosis in cases of myelopathy or nerve-root compression. Journal of Neurosurgery 25: 611–622.
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Irvine, G., Strachan, W. The long-term results of localised anterior cervical decompression and fusion in spondylotic myelopathy. Spinal Cord 25, 18–22 (1987). https://doi.org/10.1038/sc.1987.7
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DOI: https://doi.org/10.1038/sc.1987.7
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