Akademik Veri Yönetim Sistemi
Journal of Turkish Spinal Surgery, cilt.35, sa.2, ss.67-71, 2024 (Scopus)
Objective: To evaluate the clinical outcomes of patients with cervical spondylotic myelopathy (CSM) operated using the en-bloc laminoplasty technique and the effects of surgical timing on clinical outcomes. Materials and Methods: This study analyzed the preoperative and postoperative outcomes of 32 patients who underwent en-bloc cervical laminoplasty for CSM. The effect of preoperative symptom duration on postoperative clinical outcomes and the clinical outcomes of en-bloc cervical laminoplasty were evaluated. The modified Japanese Orthopedic Association (mJOA) score and Nurick scale were used for preoperative and postoperative functional and neurological evaluation. Results: The mean age of the patients was 66.3 years. Twenty-one patients were male (65.6%) and 11 were female (34.4%), and the mean follow-up period was 34.7 months. Seven of eight patients with mJOA scores of 15 and above had complete recovery and one had partial benefit. Of the 10 patients with mJOA scores between 12 and 15, 7 improved above 15 points and 3 showed partial improvement. Of the 14 patients with a score below 12, 10 had improved to the 12-15 range, whereas 3 had remained unchanged. Deterioration was observed in one patient. Conclusion: Low mJOA scores, high Nurick grade, and long preoperative symptom duration negatively affected surgical treatment results.