Functional outcome of posterior laminectomy in case of cervical myelopathy with multilevel cervical cord compression
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Objective: The primary objective is to study the functional outcome of cervical laminectomy with or without instrumentation for cervical myelopathy in case of multilevel cervical cord compression using modified JOA and NURICK score. Introduction: Cervical myelopathy is a neurological pathology associated with a degenerative disease of the cervical spine resulting from a spinal cord compression. Cervical myelopathy presents with clinical implications in the upper and/or lower limbs caused by compression of the spinal cord. Loss of coordination, weakness and tactile sensitivity are some of the most common symptoms. Several procedures are available for the operative management of multi-level cervical spondylosis myelopathy or radiculopathy. Laminectomy has proven to be successful, but several inherent risks have been recognized. Postoperative instability and deformity, in particular kyphosis, is a well-documented problem. Methodology: A prospective and retrospective cohort of 30 patients with cervical myelopathy with multilevel cord compression treated with posterior laminectomy between January 2016 to December 2017 were analysed for minimum of 1 year and final result were analysed with modified JOA and NURICK score. Results: Cervical laminectomy as posterior approach alone or with posterior stabilisation with fusion can be chosen in patients of cervical myelopathy with multilevel cervical cord compression to achieve adequate decompression with comparable functional outcome as ACDF or ACCF.
Authors and Affiliations
Dr. Siddharth D Parekh, Dr. Arvind B Goregaonkar, Dr. Anoop Dhamangaokar, Dr. Apratim R Deekshit, Dr. Umesh P Kanade
Keywords
Related Articles
- EP ID EP488028
- DOI 10.22271/ortho.2018.v4.i4f.56
- Views 106
- Downloads 0
Retrospective study of function outcome in giant cell tumor treated by sandwich technique with internal fixation
Purpose: To evaluate outcomes of 27 patients who underwent curettage, use of phenol, and reconstruction using the sandwich technique with internal fixation with plate or k wires for giant cell tumor (GCT) of bone around...
Functional outcome of surgical management of floating knee injuries in adults (Ipsilateral femoral and tibia fractures) and its prognostic indicators
Background: Ipsilateral femoral and tibial fractures are termed as floating knee injuries [1, 2]. They range from simple diaphyseal fractures to complex intraarticular fractures. Combinations of diaphyseal, metaphyseal a...
Design of anatomically locked plate for posterior malleolus by computer aided technique
Objective: To use computer aided technology to design anatomic plate for the posterior ankle by software Mimics, CT and 3D printing. Methods: The CT data of 20 normal ankles were imported into software Mimics in dicom fo...
An atypical type of Monteggia equivalent: A case report
Monteggia fracture dislocations comprise about 5-10 % of all forearm fractures in adults and was first described in 1814. Since then there has been many descriptions of Monteggia equivalents. We present a case of 47 year...
Results of locking compression plate in the management of fracture distal end of femur in adults
Introduction: The use of locking compression plate in fractures of distal femur in our study seems to be associated with a good functional outcome and early recovery. The DF-LCP is a good implant to use for fractures of...