Clinical outcome of cervical spondylosis myelopathy in preoperative and postoperative period

Abstract

In clinical practice of neurological spine surgery it is necessary to explain the prognosis to the patients will empower patients if he or she ready subjecting himself to a surgery. It has to be answered in a scientific way based on studies done. This work study the clinical prognosis in clinical features in the pre and post-operative period taking the pre and post-operative symptoms and signs into consideration in cases of cervical myelopathy with spondylotic changes. We had analyzed 40 patients using the JOA (Japanese Orthopaedic Association score). We evaluated the clinical signs and symptoms of cervical spondylotic myelopathy in patient at pre and post-operative stage for a span of 3 months with the help of JOA. Cervico-spondylo-myelopathy were confirmed by neurological examinations and imaging studies (X-ray, CT and MRI). All patients underwent anterior cervical discectomy with titanium cage fusion. A JOA score of 12 or more was considered as normal.in our study. All our patients had various types of outcome in clinical features and a significant improvement was found in all the patients after 4 weeks of surgery. All underwent a single technique of cervical discectomy with cylindrical titanium cage fusion. No mortality was noted and majority of the patients had a better outcome with a score of >12. Any gross improvement can be expected only after 4 weeks and the surgical technique has a very low morbidity and mortality rate.