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Article: Neurological recovery after surgical decompression in patients with cervical spondylotic myelopathy - A prospective study

TitleNeurological recovery after surgical decompression in patients with cervical spondylotic myelopathy - A prospective study
Authors
KeywordsCervical spondylotic myelopathy
Neurological recovery
Issue Date2008
PublisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/264
Citation
International Orthopaedics, 2008, v. 32 n. 2, p. 273-278 How to Cite?
AbstractCervical spondylotic myelopathy is a common clinical problem. No study has examined the pattern of neurological recovery after surgical decompression. We conducted a prospective study on the pattern of neurological recovery after surgical decompression in patients with cervical spondylotic myelopathy. Patients suffering from cervical spondylotic myelopathy and requiring surgical decompression from January 1995 to December 2000 were prospectively included. Upper limbs, lower limbs and sphincter functions were assessed using the Japanese Orthopaedic Association (JOA) score. Assessment was done before the operation, at 1 week, 2 weeks, 1 month, 3 months, 6 months, 1 year and then yearly after surgery. Results were analysed with the t-test. Differences with P-values less than 0.05 were regarded as statistically significant. Fifty-five patients were included. The average follow-up period was 53 months. Thirty-nine patients (71%) had neurological improvement after the operation with a mean recovery rate of 55%. The JOA score improved after surgery, reaching statistical significance at 3 months and a plateau at 6 months. Thirty-six patients (65%) had improvement of upper limb function. Twenty-four patients (44%) had improvement of lower limb function. Eleven patients (20%) had improvement of sphincter function. The recovery rate of upper limb function was 37%, of lower limb function was 23% and of sphincter function was 17%. Surgical decompression worked well in patients with cervical spondylotic myelopathy. Seventy-one percent of patients had neurological improvement after the operation. The neurological recovery reached a plateau at 6 months after the operation. The upper limb function had the best recovery, followed by lower limb and sphincter functions. © 2007 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/79343
ISSN
2015 Impact Factor: 2.387
2015 SCImago Journal Rankings: 1.508
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheung, WYen_HK
dc.contributor.authorArvinte, Den_HK
dc.contributor.authorWong, YWen_HK
dc.contributor.authorLuk, KDKen_HK
dc.contributor.authorCheung, KMCen_HK
dc.date.accessioned2010-09-06T07:53:36Z-
dc.date.available2010-09-06T07:53:36Z-
dc.date.issued2008en_HK
dc.identifier.citationInternational Orthopaedics, 2008, v. 32 n. 2, p. 273-278en_HK
dc.identifier.issn0341-2695en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79343-
dc.description.abstractCervical spondylotic myelopathy is a common clinical problem. No study has examined the pattern of neurological recovery after surgical decompression. We conducted a prospective study on the pattern of neurological recovery after surgical decompression in patients with cervical spondylotic myelopathy. Patients suffering from cervical spondylotic myelopathy and requiring surgical decompression from January 1995 to December 2000 were prospectively included. Upper limbs, lower limbs and sphincter functions were assessed using the Japanese Orthopaedic Association (JOA) score. Assessment was done before the operation, at 1 week, 2 weeks, 1 month, 3 months, 6 months, 1 year and then yearly after surgery. Results were analysed with the t-test. Differences with P-values less than 0.05 were regarded as statistically significant. Fifty-five patients were included. The average follow-up period was 53 months. Thirty-nine patients (71%) had neurological improvement after the operation with a mean recovery rate of 55%. The JOA score improved after surgery, reaching statistical significance at 3 months and a plateau at 6 months. Thirty-six patients (65%) had improvement of upper limb function. Twenty-four patients (44%) had improvement of lower limb function. Eleven patients (20%) had improvement of sphincter function. The recovery rate of upper limb function was 37%, of lower limb function was 23% and of sphincter function was 17%. Surgical decompression worked well in patients with cervical spondylotic myelopathy. Seventy-one percent of patients had neurological improvement after the operation. The neurological recovery reached a plateau at 6 months after the operation. The upper limb function had the best recovery, followed by lower limb and sphincter functions. © 2007 Springer-Verlag.en_HK
dc.languageengen_HK
dc.publisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/264en_HK
dc.relation.ispartofInternational Orthopaedicsen_HK
dc.subjectCervical spondylotic myelopathyen_HK
dc.subjectNeurological recoveryen_HK
dc.titleNeurological recovery after surgical decompression in patients with cervical spondylotic myelopathy - A prospective studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0341-2695&volume=32&issue=2&spage=273&epage=278&date=2008&atitle=Neurological+recovery+after+surgical+decompression+in+patients+with+cervical+spondylotic+myelopathy+-+a+prospective+studyen_HK
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_HK
dc.identifier.emailCheung, KMC:cheungmc@hku.hken_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.identifier.authorityCheung, KMC=rp00387en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00264-006-0315-4en_HK
dc.identifier.pmid17235616-
dc.identifier.scopuseid_2-s2.0-41049117406en_HK
dc.identifier.hkuros145950en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-41049117406&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume32en_HK
dc.identifier.issue2en_HK
dc.identifier.spage273en_HK
dc.identifier.epage278en_HK
dc.identifier.isiWOS:000254201100022-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridCheung, WY=24504264600en_HK
dc.identifier.scopusauthoridArvinte, D=15021780600en_HK
dc.identifier.scopusauthoridWong, YW=36247941700en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK
dc.identifier.scopusauthoridCheung, KMC=7402406754en_HK
dc.identifier.citeulike2772361-

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