| KADAŇKA, Zdeněk, Miroslav MAREŠ, Josef BEDNAŘÍK, Vladimír SMRČKA, Martin KRBEC, Richard CHALOUPKA and Ladislav DUŠEK. Predictive factors for spondylotic cervical myelopathy treated conservatively or surgically. European Journal of Neurology. Margate, Kent, UK: Thanet Press, 2005, vol. 12, No 1, p. 55-63. ISSN 1351-5101. |
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@article{564068,
author = {Kadaňka, Zdeněk and Mareš, Miroslav and Bednařík, Josef and Smrčka, Vladimír and Krbec, Martin and Chaloupka, Richard and Dušek, Ladislav},
article_location = {Margate, Kent, UK},
article_number = {1},
keywords = {: spondylotic myelopathy; cervical myelopathy; surgery for myelopathy; conservative treatment of myelopathy; cervical cord compressive myelopathy},
language = {eng},
issn = {1351-5101},
journal = {European Journal of Neurology},
title = {Predictive factors for spondylotic cervical myelopathy treated conservatively or surgically},
volume = {12},
year = {2005}
}
TY - JOUR
ID - 564068
AU - Kadaňka, Zdeněk - Mareš, Miroslav - Bednařík, Josef - Smrčka, Vladimír - Krbec, Martin - Chaloupka, Richard - Dušek, Ladislav
PY - 2005
TI - Predictive factors for spondylotic cervical myelopathy treated conservatively or surgically
JF - European Journal of Neurology
VL - 12
IS - 1
SP - 55-63
EP - 55-63
PB - Thanet Press
SN - 13515101
KW - : spondylotic myelopathy
KW - cervical myelopathy
KW - surgery for myelopathy
KW - conservative treatment of myelopathy
KW - cervical cord compressive myelopathy
N2 - Objectives. A prospective 3-year randomised study comparing conservative and surgical treatment of spondylotic cervical myelopathy to establish predictive factors for outcome after conservative treatment and surgery. Material and Methods. The clinical, electrophysiological and imaging parameters were examined to reveal how they characterised the clinical outcome. Statistically, pair-wise and multiple comparisons of differences were used with the independent t-test and on one-way ANOVA models followed by Tukey multiple-range tests. Results. The patients with a good outcome in the conservatively treated group were of older age before treatment, had normal central motor conduction time (CMCT), and possessed a larger transverse area of the spinal cord. The patients with a good outcome in the surgically treated group had a more serious clinical picture (expressed in mJOA score and slower walk). Conclusions. Patients should rather be treated conservatively if they a spinal transverse area larger than 70 mm2 , are of older age, and have normal CMCT. Surgery is more suitable for patients with clinically worse status and a lesser transverse area of spinal cord.
ER -
KADAŇKA, Zdeněk, Miroslav MAREŠ, Josef BEDNAŘÍK, Vladimír SMRČKA, Martin KRBEC, Richard CHALOUPKA and Ladislav DUŠEK. Predictive factors for spondylotic cervical myelopathy treated conservatively or surgically. \textit{European Journal of Neurology}. Margate, Kent, UK: Thanet Press, 2005, vol.~12, No~1, p.~55-63. ISSN~1351-5101.
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