Abstract:
OBJECTIVE:To investigate the efficiency of anterior decompression on the proximal-type cervical spondylotic amyotrophy patients. METHODS:This was a retrospective analysis. From January 2014 to November 2017, 21 patients with proximal-type cervical spondylotic amyotrophy (CSA) underwent anterior decompression. There were 15 males and 6 females, aged 35-73 years with an average of 51.62 years. All the patients underwent surgery of anterior decompression (ACDF or ACCF). Among them, 12 patients underwent C4/5 single level ACDF, eight patients underwent C4/5 and C5/6 double level ACDF, and one patient underwent C5 anterior cervical corpectomy decompression and fusion surgery. Preoperative and postoperative clinical and radiologic parameters were assessed. The clinical examinations were reviewed, including muscle strength, neck disability index (NDI) score, cervical Japanese Orthopaedic Association (JOA) score, and improvement rate of manual muscle test (MMT) at the last follow-up. Preoperative spinal cord or nerve impingement was assessed by magnetic resonance imaging (MRI) or computed tomography (CT) myelography. Postoperative lateral X-ray radiographs were performed every 3 months after the surgery. RESULTS:Severe preoperative muscle atrophy of the deltoid or biceps muscles occurred in 21 patients included in the study. All of them involve impingements of the ventral nerve root and/or the anterior horn according to MRI and CT myelography. The preoperative duration of symptoms averaged 8.4 months. The average follow-up for all patients was 13.2 months. At the final follow-up, all patients showed statistically significant improvements in muscle strength and NDI scores (P < 0.05, P < 0.05). For the deltoid muscles force and C-JOA scores, the average improvement rates were 66.49% ± 10.04% and 62.23% ± 9.23%, respectively. With respect to MMT, 12 proximal-type patients were graded excellent, six were good, and three were fair, and the overall improvement rate was 85.7%. CONCLUSIONS:For proximal-type CSA patients with cervical radiculopathy, earlier anterior decompression surgery can achieve satisfactory results by significantly improving a patient's muscle strength and relieving compression symptoms.
journal_name
Orthop Surgjournal_title
Orthopaedic surgeryauthors
Lu CB,Ma ZS,Hu JB,Yang XJ,Wei W,Zhang Y,Lei Wdoi
10.1111/os.12654subject
Has Abstractpub_date
2020-06-01 00:00:00pages
734-740issue
3eissn
1757-7853issn
1757-7861journal_volume
12pub_type
杂志文章abstract::The objective of this systematic review and meta-analysis was to evaluate the efficacy and safety of i.v. tranexamic acid (TXA) in simultaneous bilateral total knee arthroplasty (TKA). Potentially relevant published reports were identified from the following electronic databases: Medline, PubMed, Embase, ScienceDirect...
journal_title:Orthopaedic surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1111/os.12256
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abstract:OBJECTIVE:To evaluate the functional outcomes of arthroscopic anatomical repair of anterior talofibular ligament (ATFL) in the treatment of chronic lateral ankle instability (CLAI) during medium- and long-term follow-up. METHODS:From September 2014 to August 2017, the data of 37 patients (23 males, 14 females; 12 left...
journal_title:Orthopaedic surgery
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/os.12567
更新日期:2019-12-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/os.12818
更新日期:2020-12-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章,评审
doi:10.1111/os.12304
更新日期:2017-02-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/os.12394
更新日期:2018-08-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/os.12623
更新日期:2020-04-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/os.12301
更新日期:2017-02-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章,评审
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更新日期:2015-02-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
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journal_title:Orthopaedic surgery
pub_type: 杂志文章,评审
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更新日期:2014-08-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
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更新日期:2019-06-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章,多中心研究
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更新日期:2019-08-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/j.1757-7861.2009.00049.x
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journal_title:Orthopaedic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1111/os.12329
更新日期:2017-05-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 临床试验,杂志文章
doi:10.1111/os.12270
更新日期:2016-08-01 00:00:00
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journal_title:Orthopaedic surgery
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doi:10.1111/os.12470
更新日期:2019-06-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
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更新日期:2020-06-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/os.12634
更新日期:2020-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-02-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/j.1757-7861.2010.00097.x
更新日期:2010-11-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/j.1757-7861.2012.00186.x
更新日期:2012-08-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1111/os.12511
更新日期:2019-08-01 00:00:00
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journal_title:Orthopaedic surgery
pub_type: 杂志文章
doi:10.1111/os.12668
更新日期:2020-06-01 00:00:00
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journal_title:Orthopaedic surgery
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pub_type: 杂志文章,随机对照试验
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journal_title:Orthopaedic surgery
pub_type: 杂志文章,实务指引
doi:10.1111/os.12454
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