Outcome of operative management of degenerative compressive myelopathy of cervical spine

Abstract

Cervical spondylotic myelopathy is a serious complication of cervical spondylosis. Surgery is increasingly recommended as the preferred treatment strategy for patients with CSM as it can effectively halt disease progression and improve neurological outcomes. Aims of the study were to determine functional outcomes, perioperative complications and to compare for safety and efficacy of different surgical treatments available for CSM. Prospective case series included all consecutive patients with CSM who underwent cervical decompressive surgery from August 2015 to March 2017 at the Orthopaedic Department, New Civil Hospital, Surat. Functional disability was assessed on the basis of the mJOA score, European Myelopathy Score and Nurick’s grading. 3 Women and 17 men with ages ranging from 37 to 65 years underwent surgical spinal cord decompression. Discectomy with anterior fusion (n = 7), corpectomy with anterior fusion (n = 2), decompressive laminectomy (n= 3), laminectomy with lateral mass fixation (n = 2) and laminoplasty (n = 6) were the operative procedures in study. Preoperative functional scorings of the patients were mJOA (12.20±2.76), EMS (11.70±3.10) and Nurick’s grade (3.15±1.3) There was a statistically significant improvement in mean scores at 6 months in The Nurick’s grades (2.0±1.21) (p