Clinical results of median corpectomy in cervical spondylotic patients with myelopathy

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dc.contributor.authorİstemen, İsmail
dc.contributor.authorÖzdoğan, Selçuk
dc.contributor.authorDüzkalır, Ali Haluk
dc.contributor.authorŞentürk, Salim
dc.contributor.authorYıldırım, Timur
dc.contributor.authorOkutan, Mehmet Özerk
dc.date.accessioned2019-05-13T08:58:47Z
dc.date.available2019-05-13T08:58:47Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractAim: To determine the factors in choosing the right surgical technique for patients with cervical spondylotic myelopathy. Material and Methods: 60 patients were operated with anterior median corpectomy and anterior fusion for cervical myelopathy in Ankara Atatürk Education and Research Hospital between the years 2006-2011. All data were obtained from patient files retrospectively. Patients were evaluated in the preoperative and early postoperative stages and 45 days after discharge by referring to their neurological examinations, Japanese Orthopaedic Association (JOA) and Nurick scores and radiological findings. Results: The average age of the patients was 53.8 ± 9.9 years (38-78) and 45 were male (75%) and 15 were female (25%). Diabetics made up 16.7% (n=10) of the group and nondiabetics 83.3% (n=50). Of the nondiabetic patients, the Nurick score on the first month after surgery was statistically lower than the preoperative and after 24 hours Nurick score (p<0.001). In the patients in the group that had 1 or 2 myelopathic findings, the Nurick score on the first month after surgery was statistically lower than the preoperative and after 24 hours Nurick score (p<0.001). The JOA score one month after surgery was statistically lower in patients with myelomalacia than in patients without myelomalacia (p=0.002). Conclusion: Median corpectomy and anterior fusion technique had better scores in patients that had few and early myelopathic symptoms, no myelomalacia on MRI, and no systemic disease.
dc.identifier.citationİstemen, İ., Özdoğan, S., Düzkalır, A., Şentürk, S., Yıldırım, T., Okutan, M. Ö. (2016). Clinical results of median corpectomy in cervical spondylotic patients with myelopathy. Turkish Neurosurgery, 26(1), 90-96.
dc.identifier.doi10.5137/1019-5149.JTN.10354-14.1
dc.identifier.endpage96en_US
dc.identifier.issn1019-5149
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage90en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.10354-14.1
dc.identifier.urihttps://hdl.handle.net/11491/1196
dc.identifier.volume26en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTurkish Neurosurgical Society
dc.relation.ispartofTurkish Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnterior Cervical Fusionen_US
dc.subjectCervical Spondylosisen_US
dc.subjectMedian Corpectomyen_US
dc.subjectMyelopathyen_US
dc.titleClinical results of median corpectomy in cervical spondylotic patients with myelopathy
dc.typeArticle

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