Table 2.
Summary of literature on operative treatment and outcome in patients with cervical spondylotic amyotrophy
Year | Number of patients | Number of patients of proximal and distal-type | Follow-up | Procedure | Outcome | |
---|---|---|---|---|---|---|
Ebara et al. [12] | 1988 | 7 | Distal-type: 7 | N/A | Laminoplasty: 6 Anterior decompression and fusion: 1 |
Grip strength improved in 6 patients |
Matsunaga et al. [30] | 1993 | 2 | N/A | N/A | Anterior decompression and fusion | One patient recovered 5 months after surgery, and the other patient did not recover |
Kaneko et al. [24] | 2004 | 6 | Distal-type: 6 | >2 years | Laminoplasty | Grip strength improved in 4 patients |
Fujiwara et al. [14] | 2006 | 32 | Proximal-type: 24 Distal-type: 8 |
78 m | Posterior cervical laminoplasty with or without foraminotomy | In proximal-type patients, muscle power improved in 92% of cases but was improved in only 38% of the distal-type cases |
Uchida et al. [46] | 2009 | 51 | Proximal-type: 37 Distal-type: 14 |
2.6 years | Anterior decompression and fusion | 62% of patients with proximal muscle atrophy gained 1 or more grades of muscle power on manual muscle testing, whereas 64.3% with distal muscle atrophy failed to gain even 1 grade of improvement |
Srinivasa Rao et al. [40] | 2009 | 7 | Distal-type: 7 | 46.5 m | Anterior decompression and fusion | 6 improved; 1 worsened The mean improvement of the outcome score was 66.7% |
N/A not available