KADAŇKA, Zdeněk, Miroslav MAREŠ, Josef BEDNAŘÍK, Vladimír SMRČKA, Martin KRBEC, Lubor STEJSKAL, Richard CHALOUPKA, Dagmar ŠURELOVÁ, Oldřich NOVOTNÝ, Igor URBÁNEK and Ladislav DUŠEK. . Approaches to Spondylotic Cervical Myelopathy: Conservative vs Surgical Results in a Three-year Follow-up Study (. Approaches to Spondylotic Cervical Myelopathy: Conservative vs Surgical Results in a Three-year Follow-up Study). Spine. Philadelphia: LIPPINCOTT WILLIAMS & WILKINS, 2002, vol. 27, No 20, p. 2205-2211. ISSN 0362-2436.
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Basic information
Original name . Approaches to Spondylotic Cervical Myelopathy: Conservative vs Surgical Results in a Three-year Follow-up Study
Authors KADAŇKA, Zdeněk (203 Czech Republic, guarantor), Miroslav MAREŠ (203 Czech Republic), Josef BEDNAŘÍK (203 Czech Republic), Vladimír SMRČKA (203 Czech Republic), Martin KRBEC (203 Czech Republic), Lubor STEJSKAL (203 Czech Republic), Richard CHALOUPKA (203 Czech Republic), Dagmar ŠURELOVÁ (203 Czech Republic), Oldřich NOVOTNÝ (203 Czech Republic), Igor URBÁNEK (203 Czech Republic) and Ladislav DUŠEK (203 Czech Republic).
Edition Spine, Philadelphia, LIPPINCOTT WILLIAMS & WILKINS, 2002, 0362-2436.
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
Impact factor Impact factor: 2.311
RIV identification code RIV/00216224:14110/02:00008550
Organization unit Faculty of Medicine
Keywords in English cervical myelopathy; compressive myelopathy; myelopathy
Tags cervical myelopathy, compressive myelopathy, myelopathy
Changed by Changed by: prof. MUDr. Zdeněk Kadaňka, CSc., učo 835. Changed: 18/12/2003 16:54.
Abstract
Study Design: A 3-year prospective randomised study. Objectives: To compare conservative and operative treatments of mild and moderate, non-progressive, or slowly progressive, forms of SCM. Methods: Sixty-eight patients were randomised into two groups. Group A, treated conservatively, consisted of 35 subjects, while group B, treated surgically, was made up of 33 patients. Results: There was, on average, no significant deterioration in mJOA score within the two groups over 3 years of follow-up, but there was a slightly expressed decrease in the self-evaluation score in group B, and a slight deterioration of the score for daily activities in group A. Comparison of the two groups showed significant difference in the timed 10 m walk test in favour of group A, but no difference in mJOA score and self evaluation by patients themselves (with the exception of a better score at month 6 in favour of group B). Conclusions: The 3-year follow-up study did not show, on average, that the surgery is superior to the conservative treatment of mild and moderate forms of SCM.
Links
NF6521, research and development projectName: Stanovení predikčních faktorů výsledku konservativní nebo chirurgické léčby spondylogenní cervikální myelopatie
Investor: Ministry of Health of the CR, Determination of predictive factors of outcome in patients with spondylotic cervical myelopathy
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