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Comparative study of curative effect of spinal endoscopic surgery and anterior cervical decompression for cervical spondylotic myelopathy

Comparative study of curative effect of spinal endoscopic surgery and anterior cervical decompression for cervical spondylotic myelopathy

Authors :
Yan-Kang Liu
Xifeng Zhang
Lei-Ming Zhang
Heng Yuan
Yu-Qiu Yan
Kai-Uwe Lewandrowski
Source :
Journal of Spine Surgery. 6:S186-S196
Publication Year :
2020
Publisher :
AME Publishing Company, 2020.

Abstract

BACKGROUND: The aim of this study was to compare the clinical efficacy of endoscopic cervical spinal surgery with anterior cervical decompression and fusion (ACDF) in the treatment of cervical spondylotic myelopathy (CSM). METHODS: A total of forty-six CSM patients who were admitted to the Medical School of Chinese PLA and treated with endoscopic spine surgery or ACDF from January 2015 to June 2017 were collected. The patients were divided into the spinal endoscopy group and the ACDF group, according to the operation methods. The operation time, intraoperative blood loss and hospitalization stay of the two groups were recorded and compared. Japanese Orthopaedic Association (JOA) score before operation, three months, and one year after operation were recorded for intra-group and inter-group comparison. The improvement rates of JOA were compared between the two groups to evaluate the clinical efficacy. RESULTS: There were twenty-two cases in the spinal endoscopy group and twenty-four cases in the ACDF group. The mean operation lasting time, intraoperative blood loss and hospitalization stay in the spinal endoscopy group were significantly lower than those in the ACDF group (P0.05). The improvement rates in the spinal endoscopy group were not significantly different compared to those in the ACDF group (P>0.05). There was no significant difference in the excellent rate (81.8% vs. 83.3%) between the spinal endoscopy group and the ACDF group (P>0.05). CONCLUSIONS: The short-term efficacy of spinal endoscopic surgery and ACDF was equal in the treatment of CSM. The spinal endoscopic surgery was significantly superior to ACDF in reducing the operation time, the intraoperative blood loss and the hospitalization stay.

Details

ISSN :
24144630 and 2414469X
Volume :
6
Database :
OpenAIRE
Journal :
Journal of Spine Surgery
Accession number :
edsair.doi.dedup.....485ff77c345977dc39f36f4116a04586
Full Text :
https://doi.org/10.21037/jss.2019.11.15