Article
Clinical Neurology
S. Mohammed Karim, David W. Cadotte, Jefferson R. Wilson, Brian K. Kwon, W. Bradley Jacobs, Michael G. Johnson, Jerome Paquet, Christopher S. Bailey, Sean D. Christie, Andrew Nataraj, Najmedden Attabib, Philippe Phan, Greg McIntosh, Hamilton Hall, Y. Raja Rampersaud, Neil Manson, Kenneth C. Thomas, Charles G. Fisher, Nicolas Dea
Summary: At 12 months after surgery, patients with mild, moderate, and severe DCM all demonstrated improved outcomes. Severe DCM patients experienced the greatest breadth of improvement, but the proportion of patients in each severity group achieving clinically meaningful changes did not differ significantly across most outcome measures.
Review
Medicine, General & Internal
Xiaoyu Yang, Aref-Ali Gharooni, Rana S. Dhillon, Edward Goacher, Edward W. Dyson, Oliver Mowforth, Alexandru Budu, Guy Wynne-Jones, Jibin Francis, Rikin Trivedi, Marcel Ivanov, Sashin Ahuja, Kia Rezajooi, Andreas K. Demetriades, David Choi, Antony H. Bateman, Nasir Quraishi, Vishal Kumar, Manjul Tripathi, Sandeep Mohindra, Erlick A. Pereira, Giles Critchley, Michael G. Fehlings, Peter J. A. Hutchinson, Benjamin M. Davies, Mark R. N. Kotter
Summary: The study assessed the reporting of study design and characteristics in multi-level DCM treated by posterior surgical approaches, finding heterogeneity in clinical and radiographic outcomes between different surgical methods. Majority of the studies were conducted in Asia, with a majority being retrospective studies, indicating a need for more high-level evidence studies in the future to elucidate the clinical effectiveness of posterior surgical treatments.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Blake A. Boehm, Innocent Njoku, Christopher G. Furey
Summary: This retrospective study analyzed surgical outcomes in 48 patients with degenerative cervical myelopathy (DCM) and found that cervical decompression surgery significantly improved neurological function. These results suggest that cervical decompression surgery is effective and has the potential to improve the neurological status in patients with severe forms of DCM.
Article
Clinical Neurology
Benjamin M. Davies, Jibin J. Francis, Max B. Butler, Oliver Mowforth, Edward Goacher, Michelle Starkey, Angelos Kolias, Guy Wynne-Jones, Mike Hutton, Senthil Selvanathan, Simon Thomson, Rodney J. C. Laing, Peter J. Hutchinson, Mark R. N. Kotter
Summary: The survey revealed that a posterior approach was favored for surgical treatment of multi-level degenerative cervical myelopathy. Region, specialty, or annual multi-level case load did not significantly influence surgical approach.
JOURNAL OF CLINICAL NEUROSCIENCE
(2021)
Review
Clinical Neurology
Sepehr Khosravi, Farzin Farahbakhsh, Marjan Hesari, Alireza Shahmohammadi, Alireza Aliakbargolkar, Vali Baigi, Zahra Eskandari, Zahra Ghodsi, James Harrop, Vafa Rahimi-Movaghar, Seyed Mohammad Ghodsi
Summary: This study aimed to investigate predictors of surgical outcomes for mild Degenerative Cervical Myelopathy (DCM) by conducting a systematic review of relevant studies. After screening 6,087 manuscripts, it was found that lower pre-operative JOA scores and quality-of-life measurement scores were associated with better surgical outcomes, while high-intensity pre-operative T2 MRI was associated with poor outcomes.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Eddie de Dios, Mats Laesser, Isabella M. Bjorkman-Burtscher, Lars Lindhagen, Anna MacDowall
Summary: This study compared the outcomes of laminectomy alone (LAM) and laminectomy with instrumented fusion (LAM + F) for degenerative cervical myelopathy (DCM). The results showed that LAM + F had more complications and reoperations than LAM. Additionally, earlier surgical intervention and less invasive procedures were found to be beneficial for DCM patients.
EUROPEAN SPINE JOURNAL
(2022)
Review
Medicine, General & Internal
Andrew S. Zhang, Christopher Myers, Christopher L. McDonald, Daniel Alsoof, George Anderson, Alan H. Daniels
Summary: Cervical myelopathy is a clinical syndrome caused by compression of the spinal cord between the C1 and T1 vertebrae. Diagnosis can be challenging due to its resemblance to other degenerative and neurological conditions. Confirmatory diagnosis requires careful correlation of appropriate imaging studies with patient history and physical examination. Treatment options focus on spinal canal decompression through anterior, posterior, or combined surgical approaches depending on the location of compression and patient factors. Favorable outcomes are observed when treatment is performed prior to the onset of severe symptoms.
AMERICAN JOURNAL OF MEDICINE
(2022)
Article
Clinical Neurology
Wylie Y. Lopez, Brian C. Goh, Shivam Upadhyaya, Chason Ziino, Peter J. Georgakas, Anmol Gupta, Daniel G. Tobert, Harold A. Fogel, Thomas D. Cha, Joseph H. Schwab, Christopher M. Bono, Stuart H. Hershman
Summary: A retrospective study found that 91.2% of patients with CSM were radiographically candidates for LP, indicating that LP may be an underutilized procedure for the treatment of CSM.
Article
Clinical Neurology
Min Zhou, Xin Xu, Hairen Chen, Baiwen Qi
Summary: This meta-analysis evaluates the therapeutic efficacy of anterior and posterior surgical approaches for multisegment cervical spondylotic myelopathy. The results show that the anterior approach is more effective in improving neck disability index, reducing cervical pain scores, and improving cervical curvature. However, the posterior approach provides a greater range of cervical motion and fewer postoperative complications.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Anni Rissanen, Mathias Hamalainen, Johan Marjamaa, Jari Siironen, Seppo Koskinen, Juho Konsti, Jussi Numminen, Anniina Koski-Palken
Summary: This study retrospectively analyzed the clinical data of 340 patients who underwent cervical laminectomy for cervical spondylotic myelopathy. The results showed that the rate of further cervical surgeries after laminectomy was low. The patients experienced decreased health-related quality of life, and some patients had cervical misalignments.
WORLD NEUROSURGERY
(2022)
Article
Orthopedics
Lei Guo, Jiaqi Li, Fei Zhang, Yapeng Sun, Wei Zhang
Summary: This study retrospectively analyzed the surgical treatment outcomes of 38 patients with multilevel cervical spondylotic myelopathy (MCSM) and compared the clinical efficacy between the hybrid procedure of posterior endoscopic decompression (PED) combined with anterior cervical discectomy fusion (ACDF) and posterior cervical laminectomy and fusion (PCLF). The results showed that the hybrid procedure had less intraoperative blood loss and shorter length of hospitalization compared to PCLF. Additionally, the hybrid procedure resulted in better cervical lordosis and lower post-operative neck pain. This study concludes that the hybrid procedure is an effective surgical treatment for MCSM.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Clinical Neurology
Mark D. Dijkman, Martine W. T. van Bilsen, Michael G. Fehlings, Ronald H. M. A. Bartels
Summary: This study investigated the functional outcomes 10 years after surgery for degenerative cervical myelopathy (DCM). The results showed that surgical treatment resulted in satisfactory improvement of functional outcome that was maintained at the 10-year follow-up.
JOURNAL OF NEUROSURGERY-SPINE
(2022)
Article
Clinical Neurology
Jiyeon Kim, Dong Hwa Heo, Dong Chan Lee, Hung Tae Chung
Summary: Biportal endoscopic surgery offers multiple advantages over traditional open surgery, and it may serve as an alternative surgical method for treating cervical myelopathy. In this study, successful neural decompression was achieved at the C5-C6-C7 levels using biportal endoscopic surgery.
ACTA NEUROCHIRURGICA
(2021)
Article
Clinical Neurology
Nathan J. Lee, Jun S. Kim, Paul Park, K. Daniel Riew
Summary: This study retrospectively compared the short-term outcomes of laminoplasty, laminectomy/fusion, and ACDF. The results showed that laminectomy/fusion had the highest risk for complications, mortality, and unplanned readmissions in the short-term postoperative period. Laminoplasty and ACDF had similar short-term complication risks. ACDF had the longest operative duration and shortest length of hospital stay without an increase in complications, readmissions, or reoperations.
GLOBAL SPINE JOURNAL
(2022)
Article
Multidisciplinary Sciences
Shaoqing Li, Bingqing Bai, Qiang Li, Qian Yuan, Xiangping Peng
Summary: The aim of this study was to forecast the risk factors of poor outcomes and postoperative loss of lordosis or recurrence of kyphosis. In a retrospective study of patients with cervical spondylosis, it was found that advanced age, longer duration of symptoms, and loss of local Cobb angle after surgery were significantly associated with a poor clinical outcome. Additionally, whole kyphosis, aggravated neck pain after surgery, preoperative lower thoracic 1, bigger change of C2-7 sagittal vertical axis, and adjacent segment degeneration were significantly associated with postoperative sagittal malalignment.
SCIENTIFIC REPORTS
(2023)