Paired and matched analysis of neurological outcomes in revision surgery for cervical myelopathy following delayed neurological decline.

ABSTRACT:

Background

Delayed neurological decline may be experienced following successful decompression surgery for cervical myelopathy. Our objective was to analyze neurological recovery upon revision surgery with relation to the index procedure and a matched control.

Methods

Fourteen patients underwent both primary and revision decompression at a single academic center. Peri-operative clinical, radiological, and surgical details were retrieved. Neurological outcomes [change in modified Japanese Orthopedic Association (mJOA), recovery ratio] following the second surgery were compared to (I) the primary operation and (II) a control subject receiving primary decompression matched for gender, age, mJOA score, and surgical approach. The minimum clinically important difference (MCID) in m

SUBMITTER: Yee AHF 

PROVIDER: S-EPMC10982917 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature