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- Title
Predictive factors for mild forms of spondylotic cervical myelopathy treated conservatively or surgically.
- Authors
Kadaňka, Z.; Mareš, M.; Bednařik, J.; Smrčka, V.; Krbec, M.; Chaloupka, R.; Dušek, L.
- Abstract
A prospective 3-year randomized study comparing conservative and surgical treatment of spondylotic cervical myelopathy to establish predictive factors for outcome after conservative treatment and surgery. The clinical, electrophysiological and imaging parameters were examined to reveal how they characterized the clinical outcome. Statistically, pair-wise and multiple comparisons of different were used with the independentt-test and on one-wayanovamodels followed by Tukey multiple-range tests. The patients with a good outcome in the conservatively treated group were of older age before treatment, had normal central motor conduction time (CMCT), and possessed a larger transverse area of the spinal cord. The patients with a good outcome in the surgically treated group had a more serious clinical picture (expressed in mJOAscore and slower walk). Patients should rather be treated conservatively if they a spinal transverse area larger than 70 mm2, are of older age, and have normal CMCT. Surgery is more suitable for patients with clinically worse status and a lesser transverse area of spinal cord.
- Subjects
CERVICAL spondylotic myelopathy; THERAPEUTICS; SURGERY; ELECTROPHYSIOLOGY; SPINAL cord; OLDER people
- Publication
European Journal of Neurology, 2005, Vol 12, Issue 1, p16
- ISSN
1351-5101
- Publication type
Article
- DOI
10.1111/j.1468-1331.2004.00947.x