Cervical spondylotic myelopathy Cervical spondylotic myelopathy (CSM) French-door laminoplasty Philadelphia collar Cervical alignment Segmental motion
Conditions
Interventions
Patient was on Philadelphia collar after post operative French-door Lamiopasty for 4 weeks.,Patient was on soft collar for 2 weeks and then no collar immobilization after French-door Laminoplasty for
Collar immobilization group,No Collar immobilization group
Sponsors
Buddhachinaraj Phitsanulok Hospital, Thailand
Eligibility
Sex/Gender
All
Age
35 Years to 99 Years
Inclusion criteria
Inclusion criteria: This research was a prospective descriptive cohort study in a single center at Buddhachinaraj hospital (Phitsanulok, Thailand). The patients who was diagnosed the cervical spondylotic myelopathy (CSM) at C2-3 to C7-T1 level with 1. Nurick grade 3-5 and,or mJOA score < 12 points (moderate to severe symptom) 2.Preoperative cervical alignment: lordosis (CL < -10o) or cervical straight (CL -10o to 0o) 3.Pre-operative modified K-line is negative on MRI
Exclusion criteria
Exclusion criteria: The exclusion criteria were as followed: 1. Presence of myelopathy caused by spinal cord injuries, tumors or infection 2. Underlying disease with Rheumatoid arthritis, cerebral palsy and Spinal tumor 3. Pre-operative cervical segmental instabiltiy 4. A history of cervical spinal surgery 5. Major anterior pathology 6. Cervical kyphotic alignment (CL > 10o)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cervical alignment, Cervical range of motion pre-operative, post-operative 1,3,6,12 months cobb angle C2-C7 from plain film lateral C-spine | — |
Secondary
| Measure | Time frame |
|---|---|
| cervical instability, axial neck pain pre-operative, post-operative 1,3,6,12 months translation and/or rotation from film c-spine lateral view, Visual analog scale | — |
Countries
Thailand
Contacts
Public ContactSupitcha Permthong
Buddhachinaraj hospital
Outcome results
None listed