Cervical spondylotic myelopathy
Conditions
Interventions
New Technology Group:Modified expansive open-door cervical laminoplasty preserving muscle attachment points of c2, 3 spinous process
Control Group:Traditional cervical spine posterior approach 3~7 single open door surgery
Sponsors
Luohe Central Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. The patient met the diagnostic criteria of CSM in the summary of the second National Symposium on Cervical Spondylosis in China [7]. The patient had progressive limb sensory, motor or sphincter dysfunction, and the X-ray film showed that the patient was complicated with developmental or degenerative cervical stenosis; 2. MRI showed that the spinal cord was under multi-segment compression, with compression segments located within the level of c4 ~ C7.
Exclusion criteria
Exclusion criteria: (1) Patients with coagulation dysfunction; (2) Preoperative ultrasonography of lower extremity vessels found thrombosis, patients with a history of thrombosis, and patients taking anticoagulant drugs; (3) Patients with severe malnutrition; (4) Patients with severe complications of heart, kidney and liver; (5) Perioperative surgery for other parts; (6) Disappearance and kyphosis of cervical vertebra; (7) Patients with cervical instability.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| JOA score and improvement rate;Cervical Cobb Angle;VAS score;Cervical curvature; | — |
Countries
China
Contacts
Public ContactYuwei Li
Luohe Central Hospital
Outcome results
None listed