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Cervical spondylotic myelopathy: is a combined approach necessary?
dc.contributor.author | Moncada Moreno, Luis Enrique | |
dc.contributor.author | Oliveira Teixeira, Kelsen de | |
dc.contributor.author | Dantas Matos, Thiago | |
dc.contributor.author | Caiado Fleury, Rodrigo Barra | |
dc.contributor.author | Tavares Costa, Herton Rodrigo | |
dc.contributor.author | Aparecido Defino, Helton Luiz | |
dc.date.accessioned | 2023-01-21T18:39:22Z | |
dc.date.available | 2023-01-21T18:39:22Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Lebl, D. R., & Bono, C. M. (2015). Update on the Diagnosis and Management of Cervical Spondylotic Myelopathy. The Journal of the American Academy of Orthopaedic Surgeons, 23(11), 648–660. https://doi.org/10.5435/JAAOS-D-14-00250 | es_PE |
dc.identifier.uri | https://hdl.handle.net/20.500.12727/11178 | |
dc.description | El presente trabajo de investigación fue sustentado en Universidad de Sao Paulo. Queda registrado en este repositorio de acuerdo al numeral 4.5 de la resolución Nº 119-2019-SUNEDU/CD, “Criterios técnicos para la revalidación de grados y títulos otorgados en el extranjero”, con la exclusiva finalidad de difundir el trabajo del autor. URI origen: https://repositorio.usp.br/item/003058045 | es_PE |
dc.description.abstract | Objective: Cervical spondylotic myelopathy (CSM) is the main cause of spinal dysfunction in adults. The type of surgical approach to treatment is not well defined in the literature. The objective is to report the results obtained through isolated posterior decompression in patients with a previous indication of the combined approach for the treatment of cervical spondylotic myelopathy. Methods: This is a therapeutic study with level of evidence II, according to the Oxford classification table. Ten patients who underwent isolated posterior approach surgery for the treatment of cervical spondylotic myelopathy were evaluated through imaging and questionnaires (visual analog scale, mJOA-Br scale – Brazilian Portuguese version of the Modified Japanese Orthopedic Association Scale, and Neck Disability Index (NDI)), comparing pre- and postoperative results. Results: Late evaluation of the 10 patients was performed in the period ranging from 24 to 36 months (mean of 30.3 months ± 7.25) following surgery. The comparison of the clinical and radiological parameters in all patients showed a statistical difference in relation to the preoperative scales applied and to the degree of cervical lordosis (p <0.05), evidencing improvement after decompression and posterior fixation of the cervical spine. Conclusions: The isolated posterior approach (decompres- sion, fixation and arthrodesis) allowed the clinical and radiological improvement of patients with cervical spondylotic myelopathy and who had an indication of the complementary anterior approach. Level of evidence II; Retrospective study | es_PE |
dc.format | application/pdf | es_PE |
dc.format.extent | pp. 78-83 | es_PE |
dc.language.iso | eng | es_PE |
dc.publisher | Columna | es_PE |
dc.relation.ispartof | urn:issn:2177-014X | |
dc.relation.ispartofseries | Columna;vol. 20, n.2 | |
dc.relation.uri | https://repositorio.usp.br/item/003058045 | es_PE |
dc.rights | info:eu-repo/semantics/openAccess | es_PE |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-sa/4.0/ | es_PE |
dc.source | Repositorio Académico USMP | es_PE |
dc.source | Universidad San Martín de Porres - USMP | es_PE |
dc.subject | Spinal Osteophytosis | es_PE |
dc.subject | Spinal Cord Diseases | es_PE |
dc.subject | Cervical Vertebrae | es_PE |
dc.title | Cervical spondylotic myelopathy: is a combined approach necessary? | |
dc.title.alternative | Mielopatía cervical espondilótica: ¿el abordaje combinado es necesario? | es_PE |
dc.type | info:eu-repo/semantics/article | es_PE |
thesis.degree.name | Segunda especialidad en ortopedia y climatología | es_PE |
thesis.degree.grantor | Universidad de San Martín de Porres. Facultad de Medicina Humana. Unidad de Posgrado | es_PE |
thesis.degree.discipline | Ortopedia y traumatología | es_PE |
dc.identifier.doi | http://dx.doi.org/10.1590/S1808-185120212002223254 | |
dc.publisher.country | BR | es_PE |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.02.10 | es_PE |
renati.author.dni | 45784426 | |
renati.discipline | 912809 | es_PE |
renati.level | https://purl.org/pe-repo/renati/level#tituloSegundaEspecialidad | es_PE |
renati.type | https://purl.org/pe-repo/renati/type#trabajoDeInvestigacion | es_PE |
dc.type.version | info:eu-repo/semantics/publishedVersion | es_PE |
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