Publication details
. Approaches to Spondylotic Cervical Myelopathy: Conservative vs Surgical Results in a Three-year Follow-up Study
| Title in English | . Approaches to Spondylotic Cervical Myelopathy: Conservative vs Surgical Results in a Three-year Follow-up Study |
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| Authors | |
| Year of publication | 2002 |
| Type | Article in Periodical |
| Magazine / Source | Spine |
| MU Faculty or unit | |
| Citation | |
| Field | Neurology, neurosurgery, neurosciences |
| Keywords | cervical myelopathy; compressive myelopathy; myelopathy |
| Description | Study Design: A 3-year prospective randomised study. Objectives: To compare conservative and operative treatments of mild and moderate, non-progressive, or slowly progressive, forms of SCM. Methods: Sixty-eight patients were randomised into two groups. Group A, treated conservatively, consisted of 35 subjects, while group B, treated surgically, was made up of 33 patients. Results: There was, on average, no significant deterioration in mJOA score within the two groups over 3 years of follow-up, but there was a slightly expressed decrease in the self-evaluation score in group B, and a slight deterioration of the score for daily activities in group A. Comparison of the two groups showed significant difference in the timed 10 m walk test in favour of group A, but no difference in mJOA score and self evaluation by patients themselves (with the exception of a better score at month 6 in favour of group B). Conclusions: The 3-year follow-up study did not show, on average, that the surgery is superior to the conservative treatment of mild and moderate forms of SCM. |
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