[Surgical treatment and its related factors of cervical spondylotic myelopathy].
OBJECTIVE
To observe the results and its related factors of surgical treatment of cervical spondylotic myelopathy (CSM).


METHODS
Totally 365 CSM patients were reviewed. All patients were treated with anterior cervical decompression and fusion with autogenous iliac bone or titanium mesh cages with local bone graft. Anterior locking plates were used for fixation. Five patients received revision surgery 3 to 6 months after the initial operation.


RESULTS
Clinical function was excellent in 175 patients (47.94%), good in 129 patients (35.34%), fair in 44 patients (12.05%), and poor in 17 patients (4.66%).


CONCLUSIONS
Anterior cervical decompresion of CSM has good clinical efficacy. The timing of operation, disease severity, and surgical technique are the important factors affecting the outcome of treatment.
Jia
Lian-shun
LS
Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China. gaohui229@sina.com
Yuan
Wen
W
Chen
Xiong-sheng
XS
Chen
De-yu
DY
Ye
Xiao-jian
XJ
Ni
Bin
B
Xiao
Jian-ru
JR
D000328:Adult; D000368:Aged; D001860:Bone Plates; D002574:Cervical Vertebrae / Q000601:surgery; D019299:Decompression, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D013123:Spinal Fusion; D013128:Spinal Osteophytosis / Q000150:complications / Q000601:surgery*; D014182:Transplantation, Autologous; D016896:Treatment Outcome