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- Title
Factors Affecting Postoperative Complications and Outcomes of Cervical Spondylotic Myelopathy with Cerebral Palsy: A Retrospective Analysis.
- Authors
Hyung Cheol Kim; Hyeongseok Jeon; Yeong Ha Jeong; Sangman Park; Seong Bae An; Jeong Hyun Heo; Dong Ah Shin; Seong Yi; Keung Nyun Kim; Yoon Ha; Sung-Rae Cho
- Abstract
Objective: Cervical surgery in patients with cervical spondylotic myelopathy (CSM) and cerebral palsy (CP) is challenging owing to the complexities of the deformity. We assessed factors affecting postoperative complications and outcomes after CSM surgery in patients with CP. Methods: Thirty-five consecutive patients with CP and CSM who underwent cervical operations between January 2006 and January 2014 were matched to 35 non-cerebral palsy (NCP) control patients. Postoperative complications and radiologic outcomes were compared between the groups. In the CP group, the Japanese Orthopaedic Association score; Oswestry neck disability index; modified Barthel index; and values for the grip and pinch, Box and Block, and Jebsen-Taylor hand function tests were obtained preand postoperatively and compared between those with and without postoperative complications. Results: Sixteen patients (16/35%) in the CP group and seven (7/35%) in the NCP group (p=0.021) had postoperative complications. Adjacent segment degeneration (p=0.021), postoperative motor weakness (p=0.037), and revisions (p=0.003) were significantly more frequent in the CP group than in the NCP group; however, instrument-related complications were not significantly higher in the CP group (7/35 vs. 5/35, p=0.280). The number of preoperative fixed cervical deformities were significantly higher in CP with postoperative complications (5/16 vs. 1/19, p=0.037). In the CP group, clinical outcomes were almost similar between those with and without postoperative complications. Conclusion: The occurrence of complications during the follow-up period was high in patients with CP. However, postoperative complications did not significantly affect clinical outcomes.
- Subjects
CERVICAL spondylotic myelopathy; SURGICAL complications; CEREBRAL palsy; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Journal of Korean Neurosurgical Society, 2021, Vol 64, Issue 5, p808
- ISSN
2005-3711
- Publication type
Article
- DOI
10.3340/jkns.2021.0012