Publication details
Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study
| Authors | |
|---|---|
| Year of publication | 2000 |
| Type | Article in Periodical |
| Magazine / Source | European Spine Journal |
| MU Faculty or unit | |
| Citation | |
| Field | Neurology, neurosurgery, neurosciences |
| Keywords | Spondylotic cervical myelopathy; Conservative treatment; Surgery |
| Description | A prospective randomised 2-year study was performed to compare the conservative and operative treatment of mild and moderate forms of spondylotic cervical myelopathy (SCM). There was, on average, no significant change in mJOA score, recovery rate, or quantified gait time within either group during the 2- years of follow-up. In the surgery group there was a slight decline in the scores for daily activities and subjective evaluation. A comparison of the two groups showed no significant differences in changes over time in mJOA score, or quantified gait, but there were significant differences in the score of daily activities recorded by video at 24 months, which was a little lower in the surgical group, and also in RR and subjective evaluation, which were both worse in the surgical group at months 12 and 24. Surgical treatment of mild and moderate forms of SCM in the present study design, comprising patients with no or very slow, insidious progression and a relatively long duration of symptoms, did not show better results than conservative treatment over the 2-year follow-up. |
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