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dc.contributor.authorMoncada Moreno, Luis Enrique
dc.contributor.authorOliveira Teixeira, Kelsen de
dc.contributor.authorDantas Matos, Thiago
dc.contributor.authorCaiado Fleury, Rodrigo Barra
dc.contributor.authorTavares Costa, Herton Rodrigo
dc.contributor.authorAparecido Defino, Helton Luiz
dc.date.accessioned2023-01-21T18:39:22Z
dc.date.available2023-01-21T18:39:22Z
dc.date.issued2019
dc.identifier.citationLebl, 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-14-00250es_PE
dc.identifier.urihttps://hdl.handle.net/20.500.12727/11178
dc.descriptionEl 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/003058045es_PE
dc.description.abstractObjective: 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 studyes_PE
dc.formatapplication/pdfes_PE
dc.format.extentpp. 78-83es_PE
dc.language.isoenges_PE
dc.publisherColumnaes_PE
dc.relation.ispartofurn:issn:2177-014X
dc.relation.ispartofseriesColumna;vol. 20, n.2
dc.relation.urihttps://repositorio.usp.br/item/003058045es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/es_PE
dc.sourceRepositorio Académico USMPes_PE
dc.sourceUniversidad San Martín de Porres - USMPes_PE
dc.subjectSpinal Osteophytosises_PE
dc.subjectSpinal Cord Diseaseses_PE
dc.subjectCervical Vertebraees_PE
dc.titleCervical spondylotic myelopathy: is a combined approach necessary?
dc.title.alternativeMielopatía cervical espondilótica: ¿el abordaje combinado es necesario?es_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
thesis.degree.nameSegunda especialidad en ortopedia y climatologíaes_PE
thesis.degree.grantorUniversidad de San Martín de Porres. Facultad de Medicina Humana. Unidad de Posgradoes_PE
thesis.degree.disciplineOrtopedia y traumatologíaes_PE
dc.identifier.doihttp://dx.doi.org/10.1590/S1808-185120212002223254
dc.publisher.countryBRes_PE
dc.subject.ocdehttps://purl.org/pe-repo/ocde/ford#3.02.10es_PE
renati.author.dni45784426
renati.discipline912809es_PE
renati.levelhttps://purl.org/pe-repo/renati/level#tituloSegundaEspecialidades_PE
renati.typehttps://purl.org/pe-repo/renati/type#trabajoDeInvestigaciones_PE
dc.type.versioninfo:eu-repo/semantics/publishedVersiones_PE


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