Anterior correction of cervical @entity85 : effects on XXXX , @entity4048 , and sagittal alignment.

@entity1 @entity602 @entity1515 @entity1745 @entity4048 @entity158 @entity85
OBJECT: Cervical @entity602 may develop as a result of @entity1745 with or without @entity85 . The effect of persistent @entity85 on the ability of the cervical cord to recover following decompressive surgery is not known. METHODS: Between 1997 and 2000, a total of 28 @entity1 with progressive @entity602 and @entity85 underwent anterior decompression, @entity85 correction (0-4 degrees of @entity1515 ), and fusion with anterior plating. @entity1 received clinical and radiological follow-up care, with independent analysis. Variables assessed included @entity1 characteristics, severity of preoperative @entity602 , @entity4048 , and cervical sagittal alignment. Twenty-six @entity1 (93%) underwent follow-up review for a minimum of 18 months. Two @entity1 died: one died in the perioperative period and was excluded from further analysis, and in the other only 3 months of follow-up data could be obtained. @entity85 was corrected to neutral or @entity1515 in 24 cases (89%), and the overall cervical curve was corrected to neutral or @entity1515 in 20 cases (74%). There was a significant improvement in @entity602 scores in those @entity1 in whom the target (0 to 4 degrees of @entity1515 ) local angle was achieved (p = 0.04). There was a variable change in overall cervical sagittal alignment following local correction. Improvement in @entity602 was unrelated to @entity1 age, previous surgery, or number of segments fused. Improvement in @entity158 score was not related to correction of kyphotic angle. CONCLUSIONS: The correction of sagittal alignment may promote recovery in spinal cord function in @entity1 with @entity85 .
