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Research Paper | Neuroscience | India | Volume 12 Issue 12, December 2023
A Clinical Study on Outcomes Following Anterior Approach Surgery for Cervical Spondylotic Myelopathy
Dr. Gamit Amitkumar Babulal [2] | Dr. Suniti Kumar Saha [2] | Dr. Kaushik Roy [3] | Dr. Jiwesh Kumar
Abstract: Background: Cervical spondylosis is considered the most common progressive disorder in the ageing cervical spine and results from the process of degeneration of the intervertebral discs and facet joint of the cervical spine. The majority of patients with symptoms respond well to conservative management in the form of analgesics, cervical immobilization, physiotherapy and anti-inflammatory drugs. Patients with deterioration of symptoms, presence of sensory deficit, motor weakness and non responding to conservative management require surgical intervention. Aim: This study was designed to assess the outcome and complications in patients with cervical spondylosis myelopathy following an anterior approach to cervical decompression and fusion. It comprised 30 patients with a mean age 44.07 years. Results: All patients underwent decompression of the cervical spine by the anterior approach. 10 patients underwent single level discectomy. 15 patients underwent one level corpectomy and 05 patients for two level corpectomy. All the patients had significant improvement in their symptoms postoperatively and in follow up demonstrated by improvement & assess by mJOA Score scale improvement. Conclusion: There is a need for longer follow up for better result analysis and comparison. Rate of the follow up was not as high as expected.
Keywords: cervical spondylosis, conservative management, surgical intervention, anterior cervical decompression, mJOA Score scale
Edition: Volume 12 Issue 12, December 2023,
Pages: 438 - 441