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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.16 - Nº 3 - Dic. 2000

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Arthropatic cervical spine stenosis: update and case review

SILVERI A; GARCÍA ASCURRA F
Rev Med Urug 2000; 16: 221-231
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

Arthropatic cervical spine stenosis and secondary myelopathy surgical treatments are reviewed through examination of 39 medical records of patients with 8 months to 3 years after surgical follow up period.

Data analyzed were as follow: demographic data, reasons to consult, diagnosis (clinical and by imaging), findings and results. Afterwards, we analyzed and discussed clinics, imaging, and surgical procedures ?outlining indication, advantages, disadvantages, and complications? of cervical myelopathy.

Surgical indication for narrowed cervical canal from spondyloarthropathy was found in-patients with cervical myelopathy and spinal cord damaged, assessed by clinical test and imaging.

Best results (pain relief and decreasing neurological symptoms) were found in early treated patients (before 6- month appearance of neurological symptoms).

Although some late treated patients improved symptomatology, majority were stable, and condition worsened in others.

Procedures and strategies used were as follow: anterior decompression and vertebral fusion in patients with two vertebrae and three neighbor intervertebral discs involved or cyphosis; and posterior approach with lamineplasty appears to be appropriate when considering spine stability and vertebral alignment in patients with larger vertebral involvement without cyphosis.