Cervical spondylotic XXXX : functional and radiographic long-term outcome after laminectomy and posterior fusion.

@entity1 @entity1513 @entity602 @entity16 @entity3799
OBJECTIVE: To evaluate the long-term efficacy of cervical laminectomy with posterior lateral mass fusion/fixation in the treatment of @entity1 with @entity3799 ( @entity3799 ). METHOD: Twenty-five @entity1 treated for @entity3799 by laminectomy and lateral mass fusion at the Division of Neurosurgery at The Ohio State University between 1989 and 1994 were studied retrospectively. Only @entity1 with longer than 2-year postoperative follow-up durations were included. At follow-up examination, each @entity1 completed an SF36 questionnaire, underwent a physical examination, underwent plain radiography showing the spinal curvature with plate and screw position, and underwent magnetic resonance imaging of the cervical spine, which evaluated dural sac decompression and @entity602 . @entity1 -generated data were used for outcome measurements. RESULTS: The mean follow-up duration was 47.5 months. Good outcome was defined by the presence of three criteria: ability to walk unassisted (Grade IIIA or better), ability to write unassisted, and ability to manage buttons and/or zippers unassisted. The inability to meet these criteria was defined as a poor outcome. Two @entity1 (8%) experienced complications that resulted from the surgery. There was no instability or progression to significant @entity1513 . Lesions that were hyperintense on magnetic resonance images did not correlate with outcome. Eighty percent of the @entity1 achieved good outcomes, and 76% had improved @entity602 scores. None of the @entity1 had late @entity16 . @entity1 with better neurological statuses at the time of surgery (Grade IIIA or better) were more likely to improve (P < 0.0001); the likelihood of a change in status for those starting with poorer grades (IIIB or worse) was not statistically significant (P < 0.08). CONCLUSION: Cervical laminectomy with posterior fusion/fixation proved useful in the treatment of @entity1 with @entity3799 with straight or lordotic spines and multilevel compression. This therapy addresses the dynamic and compressive forces that are important in the pathogenesis of @entity3799 , resulting in minimal complications and possible improvement in long-term outcomes.
