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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
- 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.
- Subjects :
- Curative effect
medicine.medical_specialty
medicine.diagnostic_test
business.industry
Endoscopic surgery
Anterior cervical discectomy and fusion
030204 cardiovascular system & hematology
Surgery
Endoscopy
03 medical and health sciences
0302 clinical medicine
Blood loss
Spondylotic myelopathy
Cervical decompression
Medicine
Original Study
Orthopedics and Sports Medicine
Clinical efficacy
business
030217 neurology & neurosurgery
Subjects
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