Informace o publikaci
. Approaches to Spondylotic Cervical Myelopathy: Conservative vs Surgical Results in a Three-year Follow-up Study
| Autoři | |
|---|---|
| Rok publikování | 2002 |
| Druh | Článek v odborném periodiku |
| Časopis / Zdroj | Spine |
| Fakulta / Pracoviště MU | |
| Citace | |
| Obor | Neurologie, neurochirurgie, neurovědy |
| Klíčová slova | cervical myelopathy; compressive myelopathy; myelopathy |
| Popis | Study Design: A 3-year prospective randomised study. Objectives: To compare conservative and operative treatments of mild and moderate, non-progressive, or slowly progressive, forms of SCM. Methods: Sixty-eight patients were randomised into two groups. Group A, treated conservatively, consisted of 35 subjects, while group B, treated surgically, was made up of 33 patients. Results: There was, on average, no significant deterioration in mJOA score within the two groups over 3 years of follow-up, but there was a slightly expressed decrease in the self-evaluation score in group B, and a slight deterioration of the score for daily activities in group A. Comparison of the two groups showed significant difference in the timed 10 m walk test in favour of group A, but no difference in mJOA score and self evaluation by patients themselves (with the exception of a better score at month 6 in favour of group B). Conclusions: The 3-year follow-up study did not show, on average, that the surgery is superior to the conservative treatment of mild and moderate forms of SCM. |
| Související projekty: |