Cervical myelopathy due to cervical spinal stenosis Musculoskeletal Diseases Dorsopathies
Conditions
Interventions
Laminectomy versus laminectomy and fusion.
Sponsors
Radboud University Nijmegen (The Netherlands)
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with a minimal age of 60 years 2. At neurologic examination myelopathic changes must be apparent 3. At Magnetic Resonance Imaging (MRI), concordant stenotic alterations at the cervical level(s) must be present 4. At the plain sitting lateral radiograph a lordotic spine must be shown 5. The shape of the cervical spine is lordotic when the vertebral bodies of C3 to C6 are in front of a line drawn from a point of the posterior inferior part of C2 to a point at the posterior superior part of C7
Exclusion criteria
Exclusion criteria: 1. Previous cervical surgery for myelopathic signs and symptoms 2. Solely radiculopathy, or most important complaint 3. Unable to undergo MRI 4. Life expectancy less than two years 5. Other diseases interfering with neurologic symptoms and signs, for example spinal cord glioma, thoracic herniated disc with spinal cord compression, multiple sclerosis etc. 6. Rheumatoid arthritis 7. Trauma to the neck in history 8. Diseases interfering with rehabilitation, for example severe cardiac congestive disease 9. Participation in another study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical outcome measured by the modified version of the Japanese Orthopedics Association scale (mJOA) score. This will be measured at six weeks, three months and one year after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quality of life, measured using the 36-item Short Form health survey (SF-36) 2. Complications 3. Costs These will be measured at six weeks, three months and one year after surgery. | — |
Countries
Netherlands
Outcome results
None listed