The posterior surgical treatment and outcomes of cervical spondylotic myelopathy: Why not C5 nerve root palsy occur

dc.authorid0000-0003-0370-0937
dc.contributor.authorYüce, İsmail
dc.contributor.authorKahyaoğlu, Okan
dc.contributor.authorAtaseven, Müzeyyen
dc.contributor.authorÇavuşoğlu, Halit
dc.contributor.authorAydın, Yunus
dc.date.accessioned2021-12-15T10:34:01Z
dc.date.available2021-12-15T10:34:01Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Yüksekokulu, Hemşirelik Bölümü
dc.description.abstractAim: Cervical spondylotic myelopathy is an age-related degenerative spinal pathology. Anterior or posterior approaches are preferred for surgical treatment. C5 palsy is a common complication after the posterior approach. The aim of our study is to describe the modified laminectomy technique, evaluate short-time surgical outcomes and comment on the C5 nerve root palsy formation. Materials and Methods: 83 patients who had been treated by modified laminectomy for cervical spondylotic myelopathy between the years 2012 and 2017 in our clinic were undertaken in our study. We evaluated the preoperative and postoperative neurologic status of the patients with VAS and JOA scales, complications (C5 palsy) of surgical treatment. The posterior approach was not performed at patients with a >13 degree angle of cervical curvature. Results: 61 of 83 patients were male and 22 were female. The mean age at the time of surgery was 57.8±8.3. The average JOA scale score was 9.4±0.9 preoperatively, 10.1±.0.9 early postoperatively and 15.1±1.0 during the late postoperative follow-up. The average angle of the cervical curvature preoperatively-postoperatively was 17.1±2.6 and 15.8±2.4 respectively. There weren’t any symptoms for C5 nerve root palsy which is a common postoperative complication. Conclusions: The cervical posterior laminectomy, which includes en-bloc laminectomy and preserving of the facet joint capsule, allows a sufficient and safe decompression of the neural structures for cervical spondylotic myelopathy.
dc.identifier.citationYüce, İ., Kahyaoğlu, O., Ataseven, M., Çavuşoğlu, H. ve Aydın, Y. (2021). The posterior surgical treatment and outcomes of cervical spondylotic myelopathy: Why not C5 nerve root palsy occur. Annals of Medical Research, 28(6), 1167-1171. https://dx.doi.org/10.5455/annalsmedres.2020.05.491
dc.identifier.doi10.5455/annalsmedres.2020.05.491
dc.identifier.endpage1171
dc.identifier.issn2636-7688
dc.identifier.issue6
dc.identifier.startpage1167
dc.identifier.urihttps://dx.doi.org/10.5455/annalsmedres.2020.05.491
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8673
dc.identifier.volume28
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectCervical Spondylosis
dc.subjectLaminectomy
dc.subjectPalsy
dc.titleThe posterior surgical treatment and outcomes of cervical spondylotic myelopathy: Why not C5 nerve root palsy occur
dc.typeArticle

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