Conservative treatment versus surgery in spondylotic cervical
myelopathy: a prospective randomised study

J 2000

Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study

KADAŇKA, Zdeněk, Josef BEDNAŘÍK, Stanislav VOHÁŇKA, Otto VLACH, Lubor STEJSKAL et. al.

Základní údaje

Originální název

Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study

Autoři

Vydání

European Spine Journal, Německo, Springer-Verlag, 2000, 0940-6719

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/00:00003654

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Spondylotic cervical myelopathy; Conservative treatment; Surgery

Štítky

conservative treatment, Spondylotic cervical myelopathy, surgery

Změněno: 26. 2. 2001 16:41, prof. MUDr. Zdeněk Kadaňka, CSc.

Anotace

V originále

A prospective randomised 2-year study was performed to compare the conservative and operative treatment of mild and moderate forms of spondylotic cervical myelopathy (SCM). There was, on average, no significant change in mJOA score, recovery rate, or quantified gait time within either group during the 2- years of follow-up. In the surgery group there was a slight decline in the scores for daily activities and subjective evaluation. A comparison of the two groups showed no significant differences in changes over time in mJOA score, or quantified gait, but there were significant differences in the score of daily activities recorded by video at 24 months, which was a little lower in the surgical group, and also in RR and subjective evaluation, which were both worse in the surgical group at months 12 and 24. Surgical treatment of mild and moderate forms of SCM in the present study design, comprising patients with no or very slow, insidious progression and a relatively long duration of symptoms, did not show better results than conservative treatment over the 2-year follow-up.

Návaznosti

ND4732, projekt VaV

Název: Dlouhodobé sledování nemocných se spondylogenní cervikální myelopatií - operační versus konzervativní léčba

Investor: Ministerstvo zdravotnictví ČR, Dlouhodobé sledování nemocných se spondylogenní cervikální myelopatií - operační versus konzervativní léčba

Citovat

KADAŇKA, Zdeněk, Josef BEDNAŘÍK, Stanislav VOHÁŇKA, Otto VLACH, Lubor STEJSKAL, Richard CHALOUPKA, Dagmar FILIPOVIČOVÁ, Dagmar ŠURELOVÁ, Blanka ADAMOVÁ, Oldřich NOVOTNÝ, Martin NĚMEC, Vladimír SMRČKA a Igor URBÁNEK. Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study. European Spine Journal. Německo: Springer-Verlag, 2000, roč. 9, č. 6, s. 538-544. ISSN 0940-6719.

@article{345763,
   author = {Kadaňka, Zdeněk and Bednařík, Josef and Voháňka, Stanislav and Vlach, Otto and Stejskal, Lubor and Chaloupka, Richard and Filipovičová, Dagmar and Šurelová, Dagmar and Adamová, Blanka and Novotný, Oldřich and Němec, Martin and Smrčka, Vladimír and Urbánek, Igor},
   article_location = {Německo},
   article_number = {6},
   keywords = {Spondylotic cervical myelopathy; Conservative treatment; Surgery},
   language = {eng},
   issn = {0940-6719},
   journal = {European Spine Journal},
   title = {Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study},
   volume = {9},
   year = {2000}
}

TY  - JOUR
ID  - 345763
AU  - Kadaňka, Zdeněk - Bednařík, Josef - Voháňka, Stanislav - Vlach, Otto - Stejskal, Lubor - Chaloupka, Richard - Filipovičová, Dagmar - Šurelová, Dagmar - Adamová, Blanka - Novotný, Oldřich - Němec, Martin - Smrčka, Vladimír - Urbánek, Igor
PY  - 2000
TI  - Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study
JF  - European Spine Journal
VL  - 9
IS  - 6
SP  - 538
EP  - 538
PB  - Springer-Verlag
SN  - 09406719
KW  - Spondylotic cervical myelopathy
KW  - Conservative treatment
KW  - Surgery
N2  - A prospective randomised 2-year study was performed to compare the conservative and operative treatment of mild and moderate forms of spondylotic cervical myelopathy (SCM). There was, on average, no significant change in mJOA score, recovery rate, or quantified gait time within either group during the 2- years of follow-up. In the surgery group there was a slight decline in the scores for daily activities and subjective evaluation. A comparison of the two groups showed no significant differences in changes over time in mJOA score, or quantified gait, but there were significant differences in the score of daily activities recorded by video at 24 months, which was a little lower in the surgical group, and also in RR and subjective evaluation, which were both worse in the surgical group at months 12 and 24. Surgical treatment of mild and moderate forms of SCM in the present study design, comprising patients with no or very slow, insidious progression and a relatively long duration of symptoms, did not show better results than conservative treatment over the 2-year follow-up.
ER  -

KADAŇKA, Zdeněk, Josef BEDNAŘÍK, Stanislav VOHÁŇKA, Otto VLACH, Lubor STEJSKAL, Richard CHALOUPKA, Dagmar FILIPOVIČOVÁ, Dagmar ŠURELOVÁ, Blanka ADAMOVÁ, Oldřich NOVOTNÝ, Martin NĚMEC, Vladimír SMRČKA a Igor URBÁNEK. Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study. \textit{European Spine Journal}. Německo: Springer-Verlag, 2000, roč.~9, č.~6, s.~538-544. ISSN~0940-6719.

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