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Date Published: 23/06/2022
Abstract Views: 210
Views PDF: 200
DOI: https://doi.org/10.51298/vmj.v515i2.2761
Issue
Vol. 515 No. 2 (2022)
Section
Các bài báo
How to Cite
Văn Trung, N. ., Xuân Thành, Đào ., Lê Bảo Tiến, N. ., & Gia Du, H. . (2022). INITIAL OUTCOMES OF SURGICAL TREATMENT IN PATIENTS WITH MULTILEVEL CERVICAL SPONDYLOTIC MYELOPATHY AT BACH MAI HOSPITAL. Vietnam Medical Journal, 515(2). https://doi.org/10.51298/vmj.v515i2.2761

INITIAL OUTCOMES OF SURGICAL TREATMENT IN PATIENTS WITH MULTILEVEL CERVICAL SPONDYLOTIC MYELOPATHY AT BACH MAI HOSPITAL

Nguyễn Văn Trung1,2,, Đào Xuân Thành1,2, Nguyễn Lê Bảo Tiến3, Hoàng Gia Du2
1 Hanoi Medical University
2 Bach Mai Hospital
3 Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

The study's objectives were to evaluate the initial outcomes of surgical treatment of multilevel cervical spondylotic myelopathy. Research Methods: An uncontrolled clinical intervention study evaluating outcomes before and after surgeryincluded 30 consecutive patients who underwent surgical treatment for multilevel cervical spondylotic myelopathy (M-CSM) from June, 2019 to Aug, 2021 at Orthopedic and Spine department, Bach Mai hospital. Results: Mean age 63.10 ± 9.82 (from 39 - 79 years old), 19 male patients (63.3%), 11 female patients (36.7%). Male/Female ratio ≈ 2/1. The average follow-up time was 13.13 months.The average mJOA score preoperative, postoperative, and follow-up was 10.17, 13.53, and 16.17, respectively. The average cervical myelopathy recovery rate after surgery and follow-up time was 45.46% and 76.69%, respectively. The patient with the onset ≥6 months had a worse rate of cervical myelopathy recovery at the time of final follow-up (p=0.021). Regional Cobb angle and C2-C7 Cobb angle of the group of patients with anterior surgery improved significantly compared to patients with posterior surgery (p = 0.006 and 0.029, respectively). The posterior approach had a shorter operation time but more blood loss than the anterior approach (p<0.001). Conclusion: Initial surgical outcomes for multilevel cervical spondylotic myelopathy were good at two approaches.

Article Details

Keywords

Cervical spondylotic myelopathy, initial surgical outcomes

References

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