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Órgano Oficial del Colegio Medico de Ortopedia en Jalisco y de la Sociedad Uruguaya de Columna Vertebral (SUCVE)

2011, Number 2

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COLUMNA 2011; 1 (2)

Tratamiento quirúrgico de la mielopatía cervical

Bazán PL, Cancinos JD, Romano YN, Borri A

Language: Spanish
References: 41
Page: 24-30
PDF size: 166.96 Kb.


ABSTRACT

Objective: To evaluate the surgical treatment of the cervical mielopatía.
Material and method: 37 patients with average of age of 62 years were taken part by cervical mielopatía (19 men and 18 women). 24 were made procedures by later route and 15 by previous route; in a case double deferred boarding was made.
X-ray, axial tomography computed and magnetic resonance were used we evaluated: alignment of vertebral bodies, spinal cord compression, length, the influence of soft tissues and the presence of myelomalacia. Surgical treatment was indicated for patients with clinical symptoms of cervical myelopathy refractory to conservative treatment arthrosis. The assessment was performed preoperatively, at 6 and 12 months postoperatively according to Nurick scale. Statistical analysis was performed (p = 0.05).
Results: All patients had spinal cord compression, 17, was observed in the resonance myelomalacia. At 6 months the improvement was 4 points in 1 patient, 3 points in 8 patients, 2 points in 15 patients, 1 point in 12 patients and one remained unchanged. Between 6 and 12 months the improvement was 2 points in 2 patients, 1 point in 10 patients, while 26 patients remained unchanged. Complications: 2 graft migration, 2 infections and 1 intraoperative radicular lesion.
Conclusions: Surgical decompression is beneficial no significant differences between both procedures. Neurologic improvement was significant in the first 6 months of decompression and the best results were obtained in patients without myelomalacia.


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