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

KADAŇKA, Zdeněk, Josef BEDNAŘÍK, Stanislav VOHÁŇKA, Otto VLACH, Lubor STEJSKAL, Richard CHALOUPKA, Dagmar FILIPOVIČOVÁ, Dagmar ŠURELOVÁ, Blanka ADAMOVÁ, Oldřich NOVOTNÝ, Martin NĚMEC, Vladimír SMRČKA and Igor URBÁNEK. Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study. European Spine Journal. Německo: Springer-Verlag, 2000, vol. 9, No 6, p. 538-544. ISSN 0940-6719.

Basic information

• Original name: Conservative treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised study
• Authors: KADAŇKA, Zdeněk, Josef BEDNAŘÍK, Stanislav VOHÁŇKA, Otto VLACH, Lubor STEJSKAL, Richard CHALOUPKA, Dagmar FILIPOVIČOVÁ, Dagmar ŠURELOVÁ, Blanka ADAMOVÁ, Oldřich NOVOTNÝ, Martin NĚMEC, Vladimír SMRČKA and Igor URBÁNEK.
• Edition: European Spine Journal, Německo, Springer-Verlag, 2000, 0940-6719.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Field of Study: 30000 3. Medical and Health Sciences
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• RIV identification code: RIV/00216224:14110/00:00003654
• Organization unit: Faculty of Medicine
• Keywords in English: Spondylotic cervical myelopathy; Conservative treatment; Surgery
• Tags: conservative treatment, Spondylotic cervical myelopathy, surgery

Abstract

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.

Links

• ND4732, research and development project: Name: Dlouhodobé sledování nemocných se spondylogenní cervikální myelopatií - operační versus konzervativní léčba

Investor: Ministry of Health of the CR, Long-term monitoring of patients with spondylotic cervical myelopathy-operative versus conservative treatment.