Journal article
Indications and Outcomes for Contemporaneous Anteroposterior Surgery in Cervical Stenosis and Myelopathy: Single Center Experience
World neurosurgery, Vol.140, pp.e348-e359
08/2020
DOI: 10.1016/j.wneu.2020.05.106
PMID: 32434011
Abstract
Anterior or posterior approaches have been shown to be effective in the treatment of cervical stenosis and myelopathy (CSM). There exists, however, a group of patients in whom both the anterior and posterior approaches are necessary to treat the stenosis and deformity. To better identify the indications and outcomes of the contemporaneous anterior + posterior approaches (CAP), we retrospectively reviewed the records of patients who have been treated with this method.
Between 2006 and 2018, 37 patients were treated with CAP for kyphosis, stenosis, and subluxation, with a median follow-up of 20 months (range: 5-112 months). We examined their radiographic metrics, health-related outcomes, and complications.
The indication for CAP was severe kyphosis in 12 cases, severe stenosis in 9, and subluxation in 7. Proximal junctional kyphosis was the indication in 4 cases, failure of instrumentation with kyphosis in 3 cases, and adjacent segment degeneration in 2. Kyphosis was corrected in all. Nine patients suffered a total of 14 complications. Six patients developed dysphagia, 2 developed spinal fluid leaks, 1 meningitis, 2 wound dehiscence, and 1 C5 palsy. None were life-threatening and all resolved with appropriate management.
The CAP approach, undertaken in cases of CSM associated with severe kyphosis, stenosis, and subluxation, led to a significant correction in kyphosis. There was total of 14 complications, comparable to previously published reports.
Details
- Title: Subtitle
- Indications and Outcomes for Contemporaneous Anteroposterior Surgery in Cervical Stenosis and Myelopathy: Single Center Experience
- Creators
- Brian J Park - University of Iowa Hospitals and ClinicsKirill V Nourski - University of IowaJennifer Noeller - University of Iowa Hospitals and ClinicsScott C Seaman - University of Iowa Hospitals and ClinicsRoyce W Woodroffe - University of IowaPatrick W Hitchon - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- World neurosurgery, Vol.140, pp.e348-e359
- DOI
- 10.1016/j.wneu.2020.05.106
- PMID
- 32434011
- NLM abbreviation
- World Neurosurg
- ISSN
- 1878-8750
- eISSN
- 1878-8769
- Language
- English
- Date published
- 08/2020
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984256837002771
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