[Long-term results of the surgical treatment of myelopathy in cervical arthrosis].
After a lapse of not less than two years the authors study the functional and clinical evolution of 62 patients presenting myelopathy in cervical arthrosis treated by surgery. A scoring system for evaluating the functional deficit of the patients is used for quantitative assessment of the disorders. Surgery brought a frank improvement in 38 patients: it left the sensorimotor deficits of 19 patients unchanged. The handicap continued to deteriorate in three patients. Two patients died from non-neurological disorders. The data are compared with those in the literature which indicate an improvement rate of the same order of magnitude. Within certain limits, age and the degree of initial handicap do not seem to influence the long-term result of surgery. However, the time lapse between the appearance of the first signs of deficiency and surgery seem to constitute an important prognostic factor. The shorter the time lapse, the better the result.
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy; D008297:Male; D008875:Middle Aged; D009468:Neuromuscular Diseases / Q000209:etiology*; D013128:Spinal Osteophytosis / Q000150:complications / Q000601:surgery*
Résultats à long terme du traitement chirurgical des myélopathies cervicarthrosiques.