Posterior extensive simultaneous multisegment decompression with posterolateral fusion for cervical myelopathy with cervical instability and kyphotic and/or S-shaped deformities.
From June 1978 to May 1988, posterior decompression with posterolateral fusion was performed at Tenri Hospital on 63 cases of cervical myelopathy with instability and/or malalignment including kyphotic and/or S-shaped deformities. Among 46 cases followed up for more than 1 year, 41 cases (89.1%) improved; 21 cases (45.7%) were rated excellent, six (13%), good; 14 (30.4%), fair; one (2.2%), unchanged; and four (8.7%), poor. On x-ray examination, bone consolidation at the bone implanted area was satisfactory in 30 cases (65.2%). Cervical instability disappeared at 55 cervical interspaces of 40 cases (78.6%). Displacement at unstable interspace disappeared or improved at 49 of 61 cervical interspaces (80.3%). Although cervical kyphosis or S-shaped deformity could not be improved, accelerated progression of these deformities appeared to be prevented.
Miyazaki
K
K
Department of Orthopedic Surgery, Tenri Hospital, Japan.
Tada
K
K
Matsuda
Y
Y
Okuno
M
M
Yasuda
T
T
Murakami
H
H
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D007738:Kyphosis / Q000150:complications* / Q000000981:diagnostic imaging; D007796:Laminectomy / Q000379:methods*; D008875:Middle Aged; D009038:Motion; D009460:Neurologic Examination; D011184:Postoperative Period; D011859:Radiography; D013118:Spinal Cord Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D013122:Spinal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D013123:Spinal Fusion