title: Effects of surgical treatment for cervical spondylotic myelopathy in patients > or = 70 years of age: a retrospective comparative study.
abstract: The objective of this study was to compare efficacy of cervical surgery for myelopathy in patients > or = 70 and < or = 60 years of age. Forty patients > or = 70 years and 50 patients < or = 60 years of age with MRI and CT proven myelopathy were neurologically assessed using the JOA score. Three operative procedures were performed: anterior spinal fusion, laminoplasty, and laminectomy. Postoperatively, patients exhibited comparable outcomes irrespective of age or operative procedure performed. The only exception was the increase in postoperative neurologic complications noted for the older individuals with greater comorbidities.
authors.affiliation: Division of Orthopaedic Surgery, Niigata University Graduate School of Medical and Dental Science, Asahimachidori Ichibancho, Niigata City, Japan. kazuh@med.niigata-u.ac.jp
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hasegawa
authors.forename: Takao
authors.initials: T
authors.lastname: Homma
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Chiba
authors.forename: Toru
authors.initials: T
authors.lastname: Hirano
authors.forename: Kei
authors.initials: K
authors.lastname: Watanabe
authors.forename: Akiyoshi
authors.initials: A
authors.lastname: Yamazaki
mesh_terms: D000368:Aged; D002574:Cervical Vertebrae; D006801:Humans; D007796:Laminectomy; D008875:Middle Aged; D009420:Nervous System / Q000503:physiopathology; D011184:Postoperative Period; D012189:Retrospective Studies; D013118:Spinal Cord Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D013123:Spinal Fusion; D013128:Spinal Osteophytosis / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*