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      Cervical vertebral stenotic myelopathy

      ,
      Equine Veterinary Education
      Wiley

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          Most cited references74

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          The anterior approach for removal of ruptured cervical disks.

          R Cloward (1958)
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            Arthrodesis by the distraction-compression method using a stainless steel implant.

            G Bagby (1988)
            A new process for arthrodesis in humans is presented. The process has been used successfully in the cervical spine of horses and has potential for human use. The concept is encompassed in the process of an anterior cervical fusion and is an adaptation of that established practice but using an implant of stainless steel containing autogenous bone graft to encourage through-the-implant growth of bone. In the future, it may have use in the human spine and other joints.
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              Cervical spondylotic myelopathy: functional and radiographic long-term outcome after laminectomy and posterior fusion.

              To evaluate the long-term efficacy of cervical laminectomy with posterior lateral mass fusion/fixation in the treatment of patients with cervical spondylotic myelopathy (CSM). Twenty-five patients treated for CSM by laminectomy and lateral mass fusion at the Division of Neurosurgery at The Ohio State University between 1989 and 1994 were studied retrospectively. Only patients with longer than 2-year postoperative follow-up durations were included. At follow-up examination, each patient completed an SF36 questionnaire, underwent a physical examination, underwent plain radiography showing the spinal curvature with plate and screw position, and underwent magnetic resonance imaging of the cervical spine, which evaluated dural sac decompression and spinal cord abnormalities. Patient-generated data were used for outcome measurements. The mean follow-up duration was 47.5 months. Good outcome was defined by the presence of three criteria: ability to walk unassisted (Grade IIIA or better), ability to write unassisted, and ability to manage buttons and/or zippers unassisted. The inability to meet these criteria was defined as a poor outcome. Two patients (8%) experienced complications that resulted from the surgery. There was no instability or progression to significant kyphosis. Lesions that were hyperintense on magnetic resonance images did not correlate with outcome. Eighty percent of the patients achieved good outcomes, and 76% had improved myelopathy scores. None of the patients had late neurological deterioration. Patients with better neurological statuses at the time of surgery (Grade IIIA or better) were more likely to improve (P < 0.0001); the likelihood of a change in status for those starting with poorer grades (IIIB or worse) was not statistically significant (P < 0.08). Cervical laminectomy with posterior fusion/fixation proved useful in the treatment of patients with CSM with straight or lordotic spines and multilevel compression. This therapy addresses the dynamic and compressive forces that are important in the pathogenesis of CSM, resulting in minimal complications and possible improvement in long-term outcomes.
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                Author and article information

                Journal
                Equine Veterinary Education
                Wiley
                09577734
                August 2003
                January 05 2010
                : 15
                : 4
                : 212-223
                Article
                10.1111/j.2042-3292.2003.tb00246.x
                0607f8a8-56ae-4776-9a38-e848a50d1f6e
                © 2010

                http://doi.wiley.com/10.1002/tdm_license_1.1

                History

                Quantitative & Systems biology,Biophysics
                Quantitative & Systems biology, Biophysics

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