Title: Clinical Evaluation of Cervical Spondylotic Myelopathy in Pre and Post op Period

Authors: R Srinivas, Shikhil Uppal Andan*, YS Chandan, P Rajmane

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.176

Abstract

In this present study, we evaluated the clinical signs and symptoms of 30 patients with cervico-spondylo-myelopathy in pre and post-operative period for a span of 3 months with the help of modified Japanese orthopaedic association score. 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. We used modified JOA scoring system for cervical myelopathy and a score of less than 12 indicates severe disability. No mortality was noted after surgery and the surgical technique reveal clinical improvement in 50 % patient after 3 months time. Majority of the patients had a better outcome at 3 months 23 (76%) had a score of more than 12. Any gross improvement can be expected only after 3 months and the surgical technique has a very low morbidity and mortality rate. 

Keywords: Anterior cervical discectomy, preoperative, post operative period, cervical spondylosis.

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