Clinical outcome of anterior vs posterior approach for cervical spondylotic myelopathy.

Cahueque Lemus, Mario Alberto; Cobar Bustamante, Andres Enrique; Ortiz Muciño, Alfredo; Caldera Hernandez, Gustavo · J Orthop · 2016

retrospective_cohort · Level III

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Abstract

The aim is to demonstrate whether there is clinical difference between posterior vs anterior decompression in cervical spondylotic myelopathy. Forty-two patient database was obtained from the Centro Medico Nacional de Occidente in Mexico, those who underwent surgical treatment for cervical myelopathy with a mean 1.4 year follow-up. Patients were divided; group A (45%) anterior approach and group B (55%) posterior approach, for mJOA, group A had a lower score compare with group B. While in the Nurick score group B got a higher score compare with group A. Posterior decompression resulted in better functional outcomes (p < 0.05).

Anatomy