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Study of functional outcome of early versus late anterior cervical decompression and fusion for degenerative cervical spondylotic myelopathy with modified japanese orthopedic association score

Author: 
Dr. Abdullah Alzahrani, Dr. Mohammad Mahfouz and Mohammad A. Alzahrani
Subject Area: 
Health Sciences
Abstract: 

Objective: To determine functional outcome of anterior cervical decompression and fusion early than 6 months from the symptoms or more than 6 monthes from the symptoms for degenerative cervical spondylotic myelopathy with modified Japanese orthopedic association score (MJOA). Materials and Methods: 40 diagnosed cases of one level cervical myelopathy at king abdulazaiz hospital in Taif between 2008—20013 were retrospectively analyzed at, 1 year using MJOA. Results: 20 patients underwent Single level ACDF within 6 months from the start of symptoms with C5-C6 the commonest level to be affected. and 20 patient 20 patients underwent Single level ACDF after more than 6 months from the symptoms but less than one year .The correlation between Duration of Symptoms to Preoperative and postoperative MJOA was statistically significant. We noted statistically significant improvement in symptoms of axial neck pain, radicular arm pain, and gait disturbances post operatively at one year in both groups but was more improvement in group 1. Statically significant difference was noted between the two group while comparison. Conclusion: Functional outcomes in operated patients at 1-year follow up are better if ACDF surgery is done early within 6 months from the symptoms. Symptoms of axial neck pain; radicular arm pain, clumsy hand and gait disturbances show significant improvement at one year follow up. While bladder and bowel involvement showed the least recovery. Significant improvement in function occurs 1 year postoperatively.

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