Surgical Outcomes in Patients with Congenital Cervical Spinal Stenosis.
Document Type
Article
Abstract
OBJECTIVE: To evaluate the differences in surgical outcomes of patients with cervical spondylotic myelopathy with and without congenital cervical spinal stenosis (CCSS).
METHODS: Institutional review board approval was obtained to conduct a retrospective chart review of patients with cervical spondylotic myelopathy who underwent decompression and fusion surgeries from 2010-2016 at a single institution. CCSS was identified using the Torg-Pavlov ratio on lateral cervical radiographs. Pre- and postoperative outcome measures were assessed using the modified Japanese Orthopedic Association (mJOA) and the EuroQol 5-dimension questionnaire (EQ-5D).
RESULTS: Of 208 patients, Torg-Pavlov ratio identified 85 patients with CCSS. There were no significant differences between the CCSS patient and control patient groups in EuroQol 5-dimension questionnaire and mJOA scores at all 4 designated time points in the study (preoperative, earliest postoperative, 6 month postoperative, and 1 year postoperative). Although not statistically significantly, there was a notable trend for patients with CCSS to be less likely to have mJOA-defined severe myelopathy at the postoperative (odds ratio [OR], 0.75; P = 0.38), 6 month postoperative (OR, 0.66; P = 0.20), and 1 year postoperative (OR, 0.64; P = 0.14) time points.
CONCLUSIONS: Postoperatively, compared with non-CCSS patients, patients with congenital cervical stenosis reported equal quality of life for all markers. Our findings suggest that in patients with CCSS and relatively mild symptoms of myelopathy, equal consideration should be given for surgical intervention. The findings of this study warrant further large-scale, multi-institutional investigation to further understand the generalizability of these surgical outcome results.
Medical Subject Headings
Aged; Cervical Vertebrae; Cohort Studies; Female; Follow-Up Studies; Humans; Male; Middle Aged; Retrospective Studies; Spinal Stenosis; Treatment Outcome
Publication Date
9-1-2020
Publication Title
World Neurosurg
ISSN
1878-8769
Volume
141
First Page
645
Last Page
645
PubMed ID
32522653
Digital Object Identifier (DOI)
10.1016/j.wneu.2020.05.252
Recommended Citation
Atli, Karam; Chakravarthy, Vikram; Khan, Aleem I; Moore, Don; Steinmetz, Michael P; and Mroz, Thomas E, "Surgical Outcomes in Patients with Congenital Cervical Spinal Stenosis." (2020). Neurosurgery. 1856.
https://scholar.barrowneuro.org/neurosurgery/1856