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The Functional Outcome of Multisegmental Cervical Myelopathy Treated by Anterior Cervical Surgery

Pramod Pralhad Tupe, Mukesh Omprakash Agrawal, Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India, Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College,Hospital and Research Centre, Nashik – 422003, Maharashtra, India
2020 MVP Journal of Medical Sciences  

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Cervical spondylosis is a degenerative condition in which there is narrowing of cervical spinal canal and neural foramina secondarily due to multifactorial degenerative changes. In cervical spondylotic myelopathy there is spinal cord dysfunction. The degenerative changes cause reduction in disc height, facetalarthosis, motion abnormality, spur formation which leads to compression of the cervical spinal cord. Methods: In this prospective study 40 patients of cervical myelopathy radiculopathy and
more » ... myeloradiculopathy were included in the study. After doing the anterior cervical surgery in Multisegmental Cervical Myelopathy, postoperatively all the patients were assessed for the functional outcome using MJOAss at postoperative interval of one month, three months and six months. Results: Mild, moderate and severe MJOAss (postoperative) at 6 months was present in 87.5%, 10% and 2.5% of the study population respectively. Hoarseness of voice (10%) was the most common complication followed by dysphagia (5%), graft site infection (2.5%) and myocardial infarction (2.5%) amongst the study population. Conclusion: Surgery is preferred in clinically evident Cervical Spondylotic Myelopathy patients. The decision of surgery is made on the basis of disability duration, symptoms and cervical spinal stenosis which are outweighted to the risk of operative intervention. The purpose of surgery is to decompress the spinal cord and stabilise the spinal column. *Author for correspondence Aetiology of Cervical Spondylotic Myelopathy is multifactorial in which small spinal canal size is an important predisposing factor. Surgery is indicated in both
doi:10.18311/mvpjms/2020/v7i1/16598 fatcat:ippup4e2tjautogxvfloa4klgq
Citation

Pramod Pralhad Tupe, Mukesh Omprakash Agrawal, Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India, Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College,Hospital and Research Centre, Nashik – 422003, Maharashtra, India. "The Functional Outcome of Multisegmental Cervical Myelopathy Treated by Anterior Cervical Surgery." MVP Journal of Medical Sciences 7.1 (2020) 123-128