Unit:
Κατεύθυνση Αποκατάσταση Βλαβών Νωτιαίου Μυελού. Διαχείριση του πόνου Σπονδυλικής προέλευσηςLibrary of the School of Health Sciences
Supervisors info:
Πνευματικός Σπυρίδων, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βλάμης Ιωάννης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μπενέτος Ιωάννης, Ακαδημαϊκός Ερευνητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Συσχέτιση του λειτουργικού αποτελέσματος της πρόσθιας σπονδυλοδεσίας με την αποκατάσταση της αυχενικής λόρδωσης σε ασθενείς με αυχενική μυελοπάθεια
Translated title:
Correlation between clinical outcome of anterior cervical fusion and restoration of cervical lordosis in patients with cervical myelopathy
Summary:
Compare the clinical and radiographic outcomes of anterior cervical fusion in patients with cervical myelopathy.
A major goal of surgeries regarding cervical myelopathy is the restoration of cervical
lordosis. However, there is still a debate whether anterior procedures managing to restore cervical lordosis improve the patients’ clinical outcome and quality of life.
A search was conducted using PubMed. Search terms included “anterior fusion” and
“cervical myelopathy”. Inclusion criteria were anterior approaches and fusion. Exclusion
criteria were articles that did not contain cervical lordosis measurements.
The pooled mean value of RR (%) for studies concerning anterior procedures with no
restoration of cervical lordosis was equal to 58.99% (95% CI= 48.37, 69.61), and it was not
significantly different in comparison with the pooled mean value of RR (%) for studies
concerning anterior procedures with restoration of cervical lordosis that was equal to 67.83% (95% CI= 62.07, 73.58).
There was no statistically significant correlation between clinical and radiographic outcomes of anterior cervical fusion. However, kyphotic patients seemed to have lower JOA scores than lordotic patients.
Main subject category:
Health Sciences
Keywords:
Anterior fusion, Cervical myelopathy
