Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly

Guowei Zhang; Zhengbin Cai; Qiuling Liu; Zhisheng Ji; Yuhao Yang; Hongsheng Lin

doi:doi:10.11648/j.js.20170504.11

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Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly

Guowei Zhang, Zhengbin Cai, Qiuling Liu, Zhisheng Ji, Yuhao Yang, Hongsheng Lin

Published in Journal of Surgery (Volume 5, Issue 4)

Received: 25 May 2017 Accepted: 5 June 2017 Published: 21 July 2017

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Abstract

To explore the clinical effect of anterior segmental decompression and interbody fusion in treatment of elderly patients with complex cervical spondylotic myelopathy of three segments or more, 50 patients, with titanium plate internal fixation bone fusion underwent anterior cervical decompression and multi segmental cervical spondylosis, were collected. Parameters of operation time, intraoperative blood loss, JOA score 1 week before and after, 12 months after operation, cervical X-ray, CT and MRI before and after operation were measured. Clinical symptoms and the improvement of JOA, internal fixation and bone grafting fusion, cervical standard sagittal Cobb angle, lateral fusion segment of vertebral body height (height of anterior border, HAB) and posterior height (height of posterior border, HPB), were observed. Operation time was 90 ~ 150 minutes, average 120 minutes. The amount of bleeding 150 ~ 450 ml, average 325.5 ml. Mean follow-up time was 15.1 months. 2 weeks after operation, sympathetic symptoms were improved obviously, lower limb muscle strength was increased, physical activity was significantly improved, and anesthesia of double upper limbs disappeared. Except for the 3 cases who had serious cervical spinal cord injury showed no obvious recovery, the other 47 patients showed significant improved neurological recovery. X-ray results of 12 months after operation showed that 50 cases of fused intervertebral, intervertebral height and lordosis maintained good. In general, anterior segmental decompression and bone graft fusion and titanium plate internal fixation operation is a safe and effective operation for treating the three section and above cervical spondylotic myelopathy, worth recommending.

Published in	Journal of Surgery (Volume 5, Issue 4)
DOI	10.11648/j.js.20170504.11
Page(s)	58-61
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Cervical Spondylosis, Segmental Decompression, Bone Graft, Fusion

References

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APA Style

Guowei Zhang, Zhengbin Cai, Qiuling Liu, Zhisheng Ji, Yuhao Yang, et al. (2017). Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly. Journal of Surgery, 5(4), 58-61. https://doi.org/10.11648/j.js.20170504.11

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ACS Style

Guowei Zhang; Zhengbin Cai; Qiuling Liu; Zhisheng Ji; Yuhao Yang, et al. Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly. J. Surg. 2017, 5(4), 58-61. doi: 10.11648/j.js.20170504.11

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AMA Style

Guowei Zhang, Zhengbin Cai, Qiuling Liu, Zhisheng Ji, Yuhao Yang, et al. Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly. J Surg. 2017;5(4):58-61. doi: 10.11648/j.js.20170504.11

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@article{10.11648/j.js.20170504.11,
  author = {Guowei Zhang and Zhengbin Cai and Qiuling Liu and Zhisheng Ji and Yuhao Yang and Hongsheng Lin},
  title = {Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly},
  journal = {Journal of Surgery},
  volume = {5},
  number = {4},
  pages = {58-61},
  doi = {10.11648/j.js.20170504.11},
  url = {https://doi.org/10.11648/j.js.20170504.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170504.11},
  abstract = {To explore the clinical effect of anterior segmental decompression and interbody fusion in treatment of elderly patients with complex cervical spondylotic myelopathy of three segments or more, 50 patients, with titanium plate internal fixation bone fusion underwent anterior cervical decompression and multi segmental cervical spondylosis, were collected. Parameters of operation time, intraoperative blood loss, JOA score 1 week before and after, 12 months after operation, cervical X-ray, CT and MRI before and after operation were measured. Clinical symptoms and the improvement of JOA, internal fixation and bone grafting fusion, cervical standard sagittal Cobb angle, lateral fusion segment of vertebral body height (height of anterior border, HAB) and posterior height (height of posterior border, HPB), were observed. Operation time was 90 ~ 150 minutes, average 120 minutes. The amount of bleeding 150 ~ 450 ml, average 325.5 ml. Mean follow-up time was 15.1 months. 2 weeks after operation, sympathetic symptoms were improved obviously, lower limb muscle strength was increased, physical activity was significantly improved, and anesthesia of double upper limbs disappeared. Except for the 3 cases who had serious cervical spinal cord injury showed no obvious recovery, the other 47 patients showed significant improved neurological recovery. X-ray results of 12 months after operation showed that 50 cases of fused intervertebral, intervertebral height and lordosis maintained good. In general, anterior segmental decompression and bone graft fusion and titanium plate internal fixation operation is a safe and effective operation for treating the three section and above cervical spondylotic myelopathy, worth recommending.},
 year = {2017}
}

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TY  - JOUR
T1  - Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly
AU  - Guowei Zhang
AU  - Zhengbin Cai
AU  - Qiuling Liu
AU  - Zhisheng Ji
AU  - Yuhao Yang
AU  - Hongsheng Lin
Y1  - 2017/07/21
PY  - 2017
N1  - https://doi.org/10.11648/j.js.20170504.11
DO  - 10.11648/j.js.20170504.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 58
EP  - 61
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20170504.11
AB  - To explore the clinical effect of anterior segmental decompression and interbody fusion in treatment of elderly patients with complex cervical spondylotic myelopathy of three segments or more, 50 patients, with titanium plate internal fixation bone fusion underwent anterior cervical decompression and multi segmental cervical spondylosis, were collected. Parameters of operation time, intraoperative blood loss, JOA score 1 week before and after, 12 months after operation, cervical X-ray, CT and MRI before and after operation were measured. Clinical symptoms and the improvement of JOA, internal fixation and bone grafting fusion, cervical standard sagittal Cobb angle, lateral fusion segment of vertebral body height (height of anterior border, HAB) and posterior height (height of posterior border, HPB), were observed. Operation time was 90 ~ 150 minutes, average 120 minutes. The amount of bleeding 150 ~ 450 ml, average 325.5 ml. Mean follow-up time was 15.1 months. 2 weeks after operation, sympathetic symptoms were improved obviously, lower limb muscle strength was increased, physical activity was significantly improved, and anesthesia of double upper limbs disappeared. Except for the 3 cases who had serious cervical spinal cord injury showed no obvious recovery, the other 47 patients showed significant improved neurological recovery. X-ray results of 12 months after operation showed that 50 cases of fused intervertebral, intervertebral height and lordosis maintained good. In general, anterior segmental decompression and bone graft fusion and titanium plate internal fixation operation is a safe and effective operation for treating the three section and above cervical spondylotic myelopathy, worth recommending.
VL  - 5
IS  - 4
ER  -

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Author Information

Guowei Zhang

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Zhengbin Cai

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Qiuling Liu

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Zhisheng Ji

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Yuhao Yang

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Hongsheng Lin

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Guowei Zhang, Zhengbin Cai, Qiuling Liu, Zhisheng Ji, Yuhao Yang, et al. (2017). Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly. Journal of Surgery, 5(4), 58-61. https://doi.org/10.11648/j.js.20170504.11

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ACS Style

Guowei Zhang; Zhengbin Cai; Qiuling Liu; Zhisheng Ji; Yuhao Yang, et al. Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly. J. Surg. 2017, 5(4), 58-61. doi: 10.11648/j.js.20170504.11

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AMA Style

Guowei Zhang, Zhengbin Cai, Qiuling Liu, Zhisheng Ji, Yuhao Yang, et al. Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly. J Surg. 2017;5(4):58-61. doi: 10.11648/j.js.20170504.11

Copy | Download

@article{10.11648/j.js.20170504.11,
  author = {Guowei Zhang and Zhengbin Cai and Qiuling Liu and Zhisheng Ji and Yuhao Yang and Hongsheng Lin},
  title = {Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly},
  journal = {Journal of Surgery},
  volume = {5},
  number = {4},
  pages = {58-61},
  doi = {10.11648/j.js.20170504.11},
  url = {https://doi.org/10.11648/j.js.20170504.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170504.11},
  abstract = {To explore the clinical effect of anterior segmental decompression and interbody fusion in treatment of elderly patients with complex cervical spondylotic myelopathy of three segments or more, 50 patients, with titanium plate internal fixation bone fusion underwent anterior cervical decompression and multi segmental cervical spondylosis, were collected. Parameters of operation time, intraoperative blood loss, JOA score 1 week before and after, 12 months after operation, cervical X-ray, CT and MRI before and after operation were measured. Clinical symptoms and the improvement of JOA, internal fixation and bone grafting fusion, cervical standard sagittal Cobb angle, lateral fusion segment of vertebral body height (height of anterior border, HAB) and posterior height (height of posterior border, HPB), were observed. Operation time was 90 ~ 150 minutes, average 120 minutes. The amount of bleeding 150 ~ 450 ml, average 325.5 ml. Mean follow-up time was 15.1 months. 2 weeks after operation, sympathetic symptoms were improved obviously, lower limb muscle strength was increased, physical activity was significantly improved, and anesthesia of double upper limbs disappeared. Except for the 3 cases who had serious cervical spinal cord injury showed no obvious recovery, the other 47 patients showed significant improved neurological recovery. X-ray results of 12 months after operation showed that 50 cases of fused intervertebral, intervertebral height and lordosis maintained good. In general, anterior segmental decompression and bone graft fusion and titanium plate internal fixation operation is a safe and effective operation for treating the three section and above cervical spondylotic myelopathy, worth recommending.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly
AU  - Guowei Zhang
AU  - Zhengbin Cai
AU  - Qiuling Liu
AU  - Zhisheng Ji
AU  - Yuhao Yang
AU  - Hongsheng Lin
Y1  - 2017/07/21
PY  - 2017
N1  - https://doi.org/10.11648/j.js.20170504.11
DO  - 10.11648/j.js.20170504.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 58
EP  - 61
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20170504.11
AB  - To explore the clinical effect of anterior segmental decompression and interbody fusion in treatment of elderly patients with complex cervical spondylotic myelopathy of three segments or more, 50 patients, with titanium plate internal fixation bone fusion underwent anterior cervical decompression and multi segmental cervical spondylosis, were collected. Parameters of operation time, intraoperative blood loss, JOA score 1 week before and after, 12 months after operation, cervical X-ray, CT and MRI before and after operation were measured. Clinical symptoms and the improvement of JOA, internal fixation and bone grafting fusion, cervical standard sagittal Cobb angle, lateral fusion segment of vertebral body height (height of anterior border, HAB) and posterior height (height of posterior border, HPB), were observed. Operation time was 90 ~ 150 minutes, average 120 minutes. The amount of bleeding 150 ~ 450 ml, average 325.5 ml. Mean follow-up time was 15.1 months. 2 weeks after operation, sympathetic symptoms were improved obviously, lower limb muscle strength was increased, physical activity was significantly improved, and anesthesia of double upper limbs disappeared. Except for the 3 cases who had serious cervical spinal cord injury showed no obvious recovery, the other 47 patients showed significant improved neurological recovery. X-ray results of 12 months after operation showed that 50 cases of fused intervertebral, intervertebral height and lordosis maintained good. In general, anterior segmental decompression and bone graft fusion and titanium plate internal fixation operation is a safe and effective operation for treating the three section and above cervical spondylotic myelopathy, worth recommending.
VL  - 5
IS  - 4
ER  -

Copy | Download