Abstract
The results of treatment over a period of 10 years of 102 cases of cervical spondylosis with myelopathy are presented, with a complete follow-up in all cases to two years after the end of that period. Results similar to those previously recorded were obtained with treatment by a light Minerva plaster collar, or laminectomy, but the best results, 73% sustained improvement, were obtained in 65 cases treated from an anterior approach, by Cloward's operation. Of 48 patients showing sustained improvement, 38 returned to, and remained at work. Cloward's operation was first undertaken at the beginning of the 10 year period, and was increasingly adopted as a primary procedure. It became evident that benefit from any treatment in cases with symptoms of long duration was likely to be limited, and the best results were in cases with less than a year's history who had Cloward's operation (86% sustained improvement). The necessity for careful clinical and radiological diagnosis, and operative technique, is emphasized, also the desirability of careful scrutiny of assessments in series of this disorder.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BRADSHAW P. Some aspects of cervical spondylosis. Q J Med. 1957 Apr;26(102):177–208. [PubMed] [Google Scholar]
- CAMPBELL A. M., PHILLIPS D. G. Cervical disk lesions with neurological disorder. Differential diagnosis, treatment, and prognosis. Br Med J. 1960 Aug 13;2(5197):481–485. doi: 10.1136/bmj.2.5197.481. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CLOWARD R. B. The anterior approach for removal of ruptured cervical disks. J Neurosurg. 1958 Nov;15(6):602–617. doi: 10.3171/jns.1958.15.6.0602. [DOI] [PubMed] [Google Scholar]
- Crandall P. H., Batzdorf U. Cervical spondylotic myelopathy. J Neurosurg. 1966 Jul;25(1):57–66. doi: 10.3171/jns.1966.25.1.0057. [DOI] [PubMed] [Google Scholar]
- Galera R., Tovi D. Anterior disc excision with interbody fusion in cervical spondylotic myelopathy and rizopathy. J Neurosurg. 1968 Apr;28(4):305–310. doi: 10.3171/jns.1968.28.4.0305. [DOI] [PubMed] [Google Scholar]
- Guidetti B., Fortuna A. Long-term results of surgical treatment of myelopathy due to cervical spondylosis. J Neurosurg. 1969 Jun;30(6):714–721. doi: 10.3171/jns.1969.30.6.0714. [DOI] [PubMed] [Google Scholar]
- LEES F., TURNER J. W. NATURAL HISTORY AND PROGNOSIS OF CERVICAL SPONDYLOSIS. Br Med J. 1963 Dec 28;2(5373):1607–1610. doi: 10.1136/bmj.2.5373.1607. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mayfield F. H. Cervical spondylosis: a comparison of the anterior and posterior approaches. Clin Neurosurg. 1965;13:181–188. [PubMed] [Google Scholar]
- NORTHFIELD D. W. Diagnosis and treatment of myelopathy due to cervical spondylosis. Br Med J. 1955 Dec 17;2(4954):1474–1477. doi: 10.1136/bmj.2.4954.1474. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nurick S. The natural history and the results of surgical treatment of the spinal cord disorder associated with cervical spondylosis. Brain. 1972;95(1):101–108. doi: 10.1093/brain/95.1.101. [DOI] [PubMed] [Google Scholar]
- Nurick S. The pathogenesis of the spinal cord disorder associated with cervical spondylosis. Brain. 1972;95(1):87–100. doi: 10.1093/brain/95.1.87. [DOI] [PubMed] [Google Scholar]
- SMITH G. W., ROBINSON R. A. The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg Am. 1958 Jun;40-A(3):607–624. [PubMed] [Google Scholar]
- SYMONDS C. The interrelation of trauma and cervical spondylosis in compression of the cervical cord. Lancet. 1953 Mar 7;1(6758):451–454. doi: 10.1016/s0140-6736(53)91637-7. [DOI] [PubMed] [Google Scholar]
- Verbiest H., Paz y Geuse H. D. Anterolateral surgery for cervical spondylosis in cases of myelopathy or nerve-root compression. J Neurosurg. 1966 Dec;25(6):611–622. doi: 10.3171/jns.1966.25.6.0611. [DOI] [PubMed] [Google Scholar]