Treatment of cervical disc disease using Cloward's technique. III. Evaluation of cervical spondylotic myelopathy in 138 cases

L Wohlert; M Buhl; E F Eriksen; K Fode; A Klaerke; L Krøyer; H Lindeberg; C B Madsen; P Strange; J O Espersen

Treatment of cervical disc disease using Cloward's technique. III. Evaluation of cervical spondylotic myelopathy in 138 cases

L Wohlert, M Buhl, E F Eriksen, K Fode, A Klaerke, L Krøyer, H Lindeberg, C B Madsen, P Strange, J O Espersen

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

19 Citations (Scopus)

Abstract

Among 1,106 patients with cervical disc disease treated with Cloward's operation over a fifteen-year period, 138 patients had symptoms and signs of spinal cord involvement. The median symptom duration was one year. Nearly all had gait disturbances, 63% had spasticity of the lower extremities and 11% had various degrees of tetraplegia. Three months after surgery 78% of the patients were found to have some symptoms, but only 5% had no symptoms at all. At the time of the questionnaire (average 7.7 years postoperatively) 46% of the patients stated they were still affected by the operation. The duration of preoperative symptoms was of significance to the outcome, but age, sex, and severity of myelopathy were not. It was demonstrated that patients with medullary involvement had a higher annual mortality rate than patients with radicular symptoms, and that this rate depended on the severity of the spinal cord symptoms.

Original language	English
Journal	Acta Neurochirurgica
Volume	71
Issue	1-2
Pages (from-to)	121-31
Number of pages	11
ISSN	0001-6268
Publication status	Published - 1 Jan 1984

Keywords

Cervical Vertebrae
Female
Follow-Up Studies
Humans
Intervertebral Disk Displacement
Male
Middle Aged
Myelography
Postoperative Complications
Spinal Cord Compression
Spinal Fusion
Spinal Osteophytosis

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title = "Treatment of cervical disc disease using Cloward's technique. III. Evaluation of cervical spondylotic myelopathy in 138 cases",

abstract = "Among 1,106 patients with cervical disc disease treated with Cloward's operation over a fifteen-year period, 138 patients had symptoms and signs of spinal cord involvement. The median symptom duration was one year. Nearly all had gait disturbances, 63% had spasticity of the lower extremities and 11% had various degrees of tetraplegia. Three months after surgery 78% of the patients were found to have some symptoms, but only 5% had no symptoms at all. At the time of the questionnaire (average 7.7 years postoperatively) 46% of the patients stated they were still affected by the operation. The duration of preoperative symptoms was of significance to the outcome, but age, sex, and severity of myelopathy were not. It was demonstrated that patients with medullary involvement had a higher annual mortality rate than patients with radicular symptoms, and that this rate depended on the severity of the spinal cord symptoms.",

keywords = "Cervical Vertebrae, Female, Follow-Up Studies, Humans, Intervertebral Disk Displacement, Male, Middle Aged, Myelography, Postoperative Complications, Spinal Cord Compression, Spinal Fusion, Spinal Osteophytosis",

author = "L Wohlert and M Buhl and Eriksen, {E F} and K Fode and A Klaerke and L Kr{\o}yer and H Lindeberg and Madsen, {C B} and P Strange and Espersen, {J O}",

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Treatment of cervical disc disease using Cloward's technique. III. Evaluation of cervical spondylotic myelopathy in 138 cases. / Wohlert, L; Buhl, M; Eriksen, E F et al.
In: Acta Neurochirurgica, Vol. 71, No. 1-2, 01.01.1984, p. 121-31.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Treatment of cervical disc disease using Cloward's technique. III. Evaluation of cervical spondylotic myelopathy in 138 cases

AU - Wohlert, L

AU - Buhl, M

AU - Eriksen, E F

AU - Fode, K

AU - Klaerke, A

AU - Krøyer, L

AU - Lindeberg, H

AU - Madsen, C B

AU - Strange, P

AU - Espersen, J O

PY - 1984/1/1

Y1 - 1984/1/1

N2 - Among 1,106 patients with cervical disc disease treated with Cloward's operation over a fifteen-year period, 138 patients had symptoms and signs of spinal cord involvement. The median symptom duration was one year. Nearly all had gait disturbances, 63% had spasticity of the lower extremities and 11% had various degrees of tetraplegia. Three months after surgery 78% of the patients were found to have some symptoms, but only 5% had no symptoms at all. At the time of the questionnaire (average 7.7 years postoperatively) 46% of the patients stated they were still affected by the operation. The duration of preoperative symptoms was of significance to the outcome, but age, sex, and severity of myelopathy were not. It was demonstrated that patients with medullary involvement had a higher annual mortality rate than patients with radicular symptoms, and that this rate depended on the severity of the spinal cord symptoms.

AB - Among 1,106 patients with cervical disc disease treated with Cloward's operation over a fifteen-year period, 138 patients had symptoms and signs of spinal cord involvement. The median symptom duration was one year. Nearly all had gait disturbances, 63% had spasticity of the lower extremities and 11% had various degrees of tetraplegia. Three months after surgery 78% of the patients were found to have some symptoms, but only 5% had no symptoms at all. At the time of the questionnaire (average 7.7 years postoperatively) 46% of the patients stated they were still affected by the operation. The duration of preoperative symptoms was of significance to the outcome, but age, sex, and severity of myelopathy were not. It was demonstrated that patients with medullary involvement had a higher annual mortality rate than patients with radicular symptoms, and that this rate depended on the severity of the spinal cord symptoms.

KW - Cervical Vertebrae

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Intervertebral Disk Displacement

KW - Male

KW - Middle Aged

KW - Myelography

KW - Postoperative Complications

KW - Spinal Cord Compression

KW - Spinal Fusion

KW - Spinal Osteophytosis

M3 - Journal article

C2 - 6731054

SN - 0001-6268

VL - 71

SP - 121

EP - 131

JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

IS - 1-2

ER -

Treatment of cervical disc disease using Cloward's technique. III. Evaluation of cervical spondylotic myelopathy in 138 cases

Abstract

Keywords

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