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Neurological and Biomechanical Evaluation of 72 Patients with Degenerative Cervical Spondylotic Myelopathy at 3, 6, and 12 Months Following Anterior Cervical Corpectomy and Fusion.
Med Sci Monit
September 2025
Department of Orthopedics, Ansteel General Hospital, Anshan, Liaoning, China.
BACKGROUND Degenerative cervical spondylotic myelopathy (CSM) is an age-related degenerative condition of the vertebral bodies, discs, and ligaments that can cause pressure on the spinal cord and nerves. Anterior cervical corpectomy and fusion is a widely used surgical approach for treating CSM, aiming to decompress the spinal cord, restore vertebral alignment, and improve fusion rates, thus providing relief to affected patients. This study was a neurological and biomechanical evaluation of 72 patients with degenerative CSM at 3, 6, and 12 months following anterior cervical corpectomy and fusion.
View Article and Find Full Text PDFA 52-year-old Myanmar man presented with bilateral progressive painless asymmetrical wrist and finger drop in 1 year without any sensory and sphincter problems. He has hypochromic microcytic anemia diagnosed as Hemoglobin E disease before. However, a serial full blood count revealed thrombocytopenia and a drop in hemoglobin disproportionate to HbE disease.
View Article and Find Full Text PDFImpact on the Intervertebral Foramen After Posterior Cervical Fixation Surgery Using Cervical Pedicle Screws.
Cureus
August 2025
Orthopaedic Surgery, Kobe Rosai Hospital, Kobe, JPN.
Purpose We aimed to compare postoperative changes in intervertebral foraminal areas and the mechanisms of foraminal stenosis following fixation surgery for cervical spondylotic myelopathy (CSM) with local kyphosis and instability, using three-dimensional computed tomography (3DCT). Methods We retrospectively analyzed 55 patients who underwent posterior cervical spinal fixation using pedicle screws. A total of 71 spinal levels (C2/3 to C7/T1) and 144 intervertebral foramina with anchor screws inserted in the upper and lower vertebrae were examined.
View Article and Find Full Text PDF[Prediction of cervical curvature loss after expansive open-door laminoplasty based on sagittal parameters].
Zhongguo Gu Shang
August 2025
Department of Orthopaedics, Ningbo NO.6 Hospital, Ningbo 315000, Zhejiang, China.
Objective: To evaluate the impact of preoperative cervical sagittal parameters on the loss of cervical lordosis (LCL) after expansive open-door laminoplasty (EOLP) and explore the optimal predictors.
Methods: A retrospective analysis was performed on the clinical data of 94 patients with cervical spondylotic myelopathy who underwent EOLP from January 2019 to January 2021, including 61 males and 33 females, aged 34 to 75 years old with an average age of(53.1±9.
Prospective Comparison of Posterior Decompression and ACDF for 1-2-Level Degenerative Cervical Myelopathy.
Spine (Phila Pa 1976)
September 2025
Department of Orthopaedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan.
Study Design: Prospective multicenter cohort study.
Objective: To compare clinical outcomes between posterior decompression without fusion (PD) and anterior cervical discectomy and fusion (ACDF) in patients with 1-2-level degenerative cervical myelopathy (DCM).
Summary Of Background Data: While numerous studies have assessed surgical strategies for multilevel DCM, limited evidence is available for cases involving only one or two levels.