cervical spondylotic myelopathy
Conditions
Interventions
None listed
Sponsors
Sint Lucas Andreas Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: All patients who underwent a cervical split laminectomy because of cervical myelopathy between 1 01-01-2005 and 31-12-2014 in OLVG-west (formerly Sint Lucas Andreas Ziekenhuis) are considered for inclusion in this study. To be eligible to participate, a subject must meet all of the following criteria: 1. Male and female subjects aged 18 - 80 years at the time of surgery 2. Subject was diagnosed with cervical myelopathy from degenerative spinal disease requiring posterior surgical decompression 3. Cervical Split Laminectomy was performed between 2004 and 2013 4. Radiological diagnosis was in accordance with clinical signs and symptoms 5. Medical records and radiological images are available for review. 6. Subject is able and willing to comply with the study protocol 7. Subject is able to provide written informed consent
Exclusion criteria
Exclusion criteria: 1. No split but conventional laminectomy was performed 2. Medical records or radiological images are not available 3. Subject underwent previous neck operations 4. Subject underwent surgery for other indications than spondylotic (degenerative) myelopathy, e.g. trauma, tumor, infection 5. Additional posterior fusion and fixation was performed in the same session 6. Subject had a congenital deformity of the cervical spine, e.g. Klippel-Feil or achondroplasia 7. Subject had significant concomitant neurological disease, e.g. severe polyneuropathy or neurodegenerative disease 8. Subject has died 9. Subject cannot be contacted
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary study parameters are the occurence of cervical kyphosis and segmental instability on a cervical radiograph performed at least 2 years after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters include the Neck Disability Index, the Nurick score the Japanes Orthopaedic Association score and perceived recovery on a 5-point Likert scale. | — |
Countries
Netherlands
Outcome results
None listed