Anterior cervical decompression and fusion by microscope for the treatment of cervical spondylotic myelopathy / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To explore clinical effects of anterior cervical decompression and fusion by microscope in treating cervical spondylotic myelopathy.</p><p><b>METHODS</b>From February 2005 to March 2010,21 patients with cervical spondylotic myelopathy, 13 males and 8 females with an average age of 51.5 years (ranged, 32 to 71), were treated with anterior cervical decompression using high-speed bur,then bone grafting and fusion with auto iliac bone and internal fixation by microscope. According to JOA score of cervical spondylosis to evaluate clinical effects before and after operation.</p><p><b>RESULTS</b>All patients were followed up from 18 to 24 months with an average of 20 months. JOA score improved significantly from preoperative 9.26 +/- 1.72 to postoperative 13.64 +/- 1.38 (t = 2.452, P = 0.000). According to JOA score, 12 cases were excellent, 7 good and 2 fair.</p><p><b>CONCLUSION</b>Anterior cervical decompression and fusion by microscope is a refined, safe and effective surgical procedure for cervical spondylotic myelopathy.</p>