scholarly journals Deep Learning-Based Cervical Spine Posterior Percutaneous Endoscopic Disc Nucleus Resection for the Treatment of Cervical Spondylotic Radiculopathy

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Yang Zhang ◽  
Hengjie Zhu ◽  
Zheng Zhou ◽  
Yinming Sun ◽  
Xiang Shen ◽  
...  
Keyword(s):  
Deep Learning ◽  
Cervical Spine ◽  
Cervical Radiculopathy ◽  
Surgical Instruments ◽  
Decompression Surgery ◽  
Average Height ◽  
Cervical Spondylotic Radiculopathy ◽  
Anterior Cervical Decompression ◽  
Significant Difference

In the past 10 years, the technology of percutaneous spine endoscopy has been continuously developed. The indications have expanded from simple lumbar disc herniation to various degenerative diseases of the cervical, thoracic, and lumbar spine. Traditional surgery for the treatment of cervical radiculopathy includes anterior cervical decompression surgery, anterior cervical decompression plus fusion surgery, and posterior limited fenestration surgery. This article mainly studies the treatment of cervical spondylosis caused by radiculopathy caused by the nucleus resection of the posterior cervical spine percutaneous spinal endoscopy based on deep learning. In the PPECD group, the height of the intervertebral cavity was measured before the operation and during the final follow-up, and the height change of the intervertebral cavity was evaluated. The relative angle and relative displacement of the sagittal plane of the operation segment in the PPECD group were measured, and the stability was evaluated. Using the cervical spine X-ray Kelvin degeneration evaluation criteria, before and during the final follow-up operation, the degeneration of the adjacent segments of the two groups was evaluated. A retrospective analysis of 26 cases of cervical radiculopathy that met the criteria for diagnosis, inclusion, and exclusion was reviewed. Among them, 11 cases were treated with PPECD surgery; 15 cases were treated with ACDF surgery. According to the evaluation method of Odom, the excellent rate and the good rate of the two groups were compared. According to the location of the lesion, the nerve detection or dull tip device is exposed under the armpit or shoulder of the nerve root, and the protruding nucleus pulposus tissue is explored and removed, and annulus fibrosus is performed as needed. After hemostasis was detected, the surgical instruments were removed and the surgical incision was completely sutured. Before the operation and 3 months after the operation, the final follow-up made no significant difference in the overall average height of the intervertebral cavity (F = 2.586, P > 0.05 ). The results show that posterior foramen expansion is an effective surgical method for the treatment of cervical spondylotic radiculopathy, but surgical adaptation requires strict management. In order to achieve satisfactory results, appropriate cases must be selected.

scholarly journals A Long-Term Control Study of the Treatment of Cervical Radiculopathy by Percutaneous Endoscopic Posterior Cervical Discectomy and Anterior Cervical Decompression, Bone Graft Fusion and Internal Fixation

2021 ◽  
Author(s):  
Xiaodong Huang ◽  
Weiheng Wang ◽  
Qingxi Meng ◽  
Jiangming Yu ◽  
Xiaojian Ye
Keyword(s):  
Clinical Symptoms ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
Clinical Results ◽  
Cervical Discectomy ◽  
Cervical Spondylotic Radiculopathy ◽  
Anterior Cervical Decompression ◽  
Intermediate Outcomes ◽  
Significant Difference

Abstract Background: Cervical spondylotic radiculopathy (CSR) is very common all over the world. However, there are only a few reports about the efficacy of percutaneous endoscopic posterior cervical discectomy (PEPCD) in the treatment of CSR. Anterior cervical decompression and fusion (ACDF) and PEPCD which is a better way to treat CSR need further study.Methods：From January 2015 to December 2016. A retrospective study of 70 patients undergoing surgery for CSR (33 using PEPCD and 37 using ACDF). The intra-operative parameters, neck disability index (NDI), neck and arm visual analog scale (VAS) score were used to assessed clinical outcome. Radiological outcomes were assessed by measuring cervical 2-7 (C2-7) lordosis, disc height index (DHI), and degree of degenerative changes at the corresponding level.Results: The mean follow-up period was 48.5 month (36 –66 months). Two groups can significantly improve the clinical symptoms. There was no significant difference between the two groups in clinical results (VAS, NDI). Compared with preoperative, the lordosis of C2-7 increased significantly at the last follow-up. At the last follow-up, C2-7 lordosis in the ACDF group was significantly higher than that in the PEPCD group. In PEPCD, compared with preoperative, there was no significant difference in the DHI, but the degree of disc degeneration was significantly increased at the last follow-up.Conclusion: For patients with CSR, PEPCD had similar clinical early and intermediate outcomes when compared with ACDF, with the advantages of minimally invasive. PEPCD is a sufficient and safe supplement and alternative to conventional surgery.

scholarly journals A Long-Term Control Study of the Treatment of Cervical Radiculopathy by Percutaneous Endoscopic Posterior Cervical Discectomy and Anterior Cervical Decompression, Bone Graft Fusion and Internal Fixation

2020 ◽  
Author(s):  
Xiaodong Huang ◽  
Weiheng Wang ◽  
Qingxi Meng ◽  
Jiangming Yu ◽  
Xiaojian Ye
Keyword(s):  
Clinical Symptoms ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
Clinical Results ◽  
Cervical Discectomy ◽  
Anterior Cervical Decompression ◽  
Intermediate Outcomes ◽  
Significant Difference ◽  
Neck Disability

Abstract BackgroundCervical spondylotic radiculopathy (CSR) is very common all over the world. However, there are only a few reports about the efficacy of percutaneous endoscopic posterior cervical discectomy (PEPCD) in the treatment of CSR. Anterior cervical decompression and fusion (ACDF) and PEPCD which is a better way to treat CSR need further study.MethodsFrom January 2015 to December 2016. A retrospective study of 70 patients undergoing surgery for CSR (33 using PEPCD and 37 using ACDF). The intra-operative parameters, neck disability index (NDI), neck and arm visual analog scale (VAS) score were used to assessed clinical outcome. Radiological outcomes were assessed by measuring cervical 2-7 (C2-7) lordosis, disc height index (DHI), and degree of degenerative changes at the corresponding level.ResultsThe mean follow-up period was 48.5 month (36 –66 months). Two groups can significantly improve the clinical symptoms. There was no significant difference between the two groups in clinical results (VAS, NDI). Compared with preoperative, the lordosis of C2-7 increased significantly at the last follow-up. At the last follow-up, C2-7 lordosis in the ACDF group was significantly higher than that in the PEPCD group. In PEPCD, compared with preoperative, there was no significant difference in the DHI, but the degree of disc degeneration was significantly increased at the last follow-up.ConclusionFor patients with CSR, PEPCD had similar clinical early and intermediate outcomes when compared with ACDF, with the advantages of minimally invasive. PEPCD is a sufficient and safe supplement and alternative to conventional surgery.

Efficacy of anterior cervical decompression and fusion procedures for monomelic amyotrophy treatment: a prospective randomized controlled trial

2013 ◽  
Vol 19 (4) ◽  
pp. 412-419 ◽  
Author(s):  
Feizhou Lu ◽  
Hongli Wang ◽  
Jianyuan Jiang ◽  
Wenjun Chen ◽  
Xin Ma ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Iliac Crest ◽  
Plate Fixation ◽  
Cervical Collar ◽  
Therapeutic Effects ◽  
Iliac Crest Bone Grafting ◽  
Anterior Cervical Decompression ◽  
Significant Difference ◽  
Internal Plate Fixation

Object Monomelic amyotrophy (MMA) is a benign, self-limiting lower motor neuron disease. Optimal surgical strategies—discectomy decompression and fusion (DDF) or corpectomy decompression and fusion (CDF)—for patients with aggravated symptoms (within 6 months of presentation) are controversial, particularly in those who are ineligible for conventional treatment. These 2 methods of anterior cervical decompression and fusion for MMA in patients unwilling or unable to wear a conventional cervical collar long term were evaluated. Methods Anterior cervical decompression and fusion were performed in 48 male patients with MMA between September 2007 and September 2010. Patients were randomly treated with anterior cervical discectomy decompression with autologous iliac crest bone grafting and internal plate fixation (DDF group: 24 patients) or anterior cervical corpectomy, posterior longitudinal ligament resection, autologous iliac crest bone grafting, and internal plate fixation (CDF group: 24 patients). Subjective symptom assessments and electromyography (EMG) examinations were conducted both preoperatively and postoperatively. Results Subjective assessments and EMG studies (mean follow-up duration 25.9 months) indicated improvement in 64.6% and 60% of patients, respectively. No significant correlations between the effectiveness of surgery and age at symptom onset, preoperative symptom duration, or postoperative follow-up time were found. Conclusions The lack of a significant difference in effectiveness between DDF and CDF favors DDF as more clinically applicable because of its lower procedural risks. As a second-line alternative to cervical collar treatment, surgical anterior cervical decompression and fusion via DDF or CDF may prevent further deterioration and produce good short-term therapeutic effects in patients with MMA; however, cervical collar treatment is recommended for eligible patients because of its lower associated risks.

scholarly journals Peri-operative Nursing for Treatment of Cervical Spondylotic Myelopathy with Anterior Cervical Decompression Surgery for Anterior Cervical Spine

2015 ◽  
Vol 4 (1) ◽  
pp. 5
Author(s):  
Na Zhang
Keyword(s):  
Cervical Spine ◽  
Cervical Spondylotic Myelopathy ◽  
Clinical Effect ◽  
Decompression Surgery ◽  
Rehabilitation Training ◽  
Anterior Cervical Decompression ◽  
Operative Complications ◽  
Effect Of Treatment ◽  
Post Operative Complications

<strong>Objective: </strong>To analyze the clinical effect of peri-operative nursing for treatment of cervical spondylotic myelopathy (CSM) with anterior cervical decompression surgery for anterior cervical spine. <strong>Method: </strong>Select 23 cases of CSM with anterior cervical decompression surgery for anterior cervical spine conducted by the department from August 2013 to January 2015, provide pre-operative nursing, post-operative nursing and rehabilitation training, and then carry out the observation and nursing of complications. <strong>Result: </strong>23 patients show good clinical effect and have no post-operative complications or nursing complications. <strong>Conclusion: </strong>Nurses should pay attention to the requirements for nursing at the beginning of peri-operative period for treatment of CSM with anterior cervical decompression surgery for anterior cervical spine, and take good actions to prevent all kinds of complications so as to help better improve the effect of treatment and nursing.

Anterior approaches to fusion of the cervical spine: a metaanalysis of fusion rates

2007 ◽  
Vol 6 (4) ◽  
pp. 298-303 ◽  
Author(s):  
Justin F. Fraser ◽  
Roger Härtl
Keyword(s):  
Cervical Spine ◽  
Fusion Rate ◽  
Anterior Plate ◽  
Chi Square ◽  
Significant Difference ◽  
The Mean ◽  
Cervical Plate ◽  
Disc Level ◽  
Plate System

Object Anterior cervical discectomy (ACD), ACD with interbody fusion (ACDF), ACDF with placement of an anterior plate system (ACDFP), corpectomy, and corpectomy with plate placement are used to fuse the cervical spine. The authors conducted a metaanalysis of studies published after 1990 in which fusion rates achieved with each procedure were reported for patients with degenerative disease at one, two, and three disc levels. Methods Twenty-one papers each included data on at least 25 patients. In each of the 21 studies the average clinical follow up was more than 12 months, and the results were evaluated according to radiographic evidence of fusion and delineated by the number of levels fused. Chi-square and Fisher exact tests were used for comparisons. The mean age of the patients was 46.7 years, 46.6% were female, and the mean follow-up period was 39.6 months. The studies included 2682 patients and the overall fusion rate was 89.5%. For single disc–level disease, fusion rates were 84.9% for ACD, 92.1% for ACDF, and 97.1% for ACDFP (p = 0.0002). For two disc–level disease, fusion rates were 79.9% for ACDF, 94.6% for ACDFP, 95.9% for corpectomy, and 92.9% for corpectomy with plate placement (p = 0.0001). For three disc–level disease, fusion rates were 65.0% for ACDF, 82.5% for ACDFP, 89.8% for corpectomy, and 96.2% for corpectomy with plate placement (p = 0.0001). The use of anterior plates significantly improved fusion for one-level (p < 0.0001), two-level (p < 0.0001), and three-level (p < 0.05) ACDF. There was no significant difference in fusion rates between two-level ACDF and corpectomy with plate placement. Conclusions The anticipated fusion rate is one of several factors that may guide surgical decision making. Anterior cervical decompression and fusion results in high fusion rates. The results of the authors' study show that regardless of the number of levels fused, the use of an anterior cervical plate system significantly increases the fusion rate. For two-disc–level disease, there was no significant difference between ACD with a plate system or corpectomy with a plate system. For three-disc–level disease, however, the evidence suggests that corpectomy with plate placement is associated with higher fusion rates than discectomy with plate placement.

3D Computed-Tomography Models for In Vivo Analysis of the Neural Foramen Geometry After Anterior Cervical Decompression and Fusion

2013 ◽  
Author(s):  
Yukoh Ohara ◽  
Takeshi Hara ◽  
Nozomu Inoue ◽  
Yoshitaka Hirano ◽  
Alejandro A. Espinoza Orías ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Vertebral Body ◽  
3D Model ◽  
Three Dimensional ◽  
Cervical Radiculopathy ◽  
Neural Foramen ◽  
Dynamic Changes ◽  
Anterior Cervical Decompression ◽  
In Vivo Analysis

Cervical radiculopathy is a dysfunction of a nerve root in the cervical spine, which is often a result of narrowing neural foramen of the cervical spine. The cervical foramen boundaries consist of the superior and inferior pedicles, the posteroinferior margin of the superior vertebral body, the posterosuperior margin of the inferior vertebral body, and the superior and inferior articular facets (Fig 1). Because the neural foramen’s boundaries consist of two movable joints, dynamic changes occur to the neural foramen dimensions. These dynamic changes and the presence of the dorsal root ganglia present the possibility of the neural foramen contributing to the complex etiology of radiculopathy. Current surgical practice recommends an Anterior Cervical Decompression and Fusion (ACDF) procedure to treat radiculopathy. For the reasons stated above, pre- and post-surgical neural foramen geometry assessment is important to evaluate effects of the treatment. To the best of the authors’ knowledge, an accurate in vivo and computerized tomography (CT) three-dimensional (3D) model has not been demonstrated in the literature.

scholarly journals Tissue discrimination by bioelectrical impedance during PLL resection in anterior decompression surgery for treatment of cervical spondylotic myelopathy

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Fuqiang Shao ◽  
He Bai ◽  
Muyao Tang ◽  
Yuan Xue ◽  
Yu Dai ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cortical Bone ◽  
Dura Mater ◽  
Nerve Root ◽  
Annulus Fibrosus ◽  
Bioelectrical Impedance ◽  
Biological Tissues ◽  
Decompression Surgery ◽  
Anterior Cervical Decompression ◽  
Significant Difference

Abstract Background The electrical properties of biological tissues differ depending on their physical properties. This study aimed to explore if bioelectrical impedance (modulus and phase) would discriminate tissues relevant to resection of the posterior longitudinal ligament (PLL) in anterior cervical decompression surgery. Methods PLL resection via an anterior approach was performed on the C4/5 segments in six mini-pigs. The bioelectrical impedance measurements were performed for two tissue groups (annulus fibrosus, endplate cartilage, sub-endplate cortical bone, and PLL; PLL, dura mater, spinal cord, and nerve root) using a novel probe and a precision inductance-capacitance-resistance meter. For each group, impedance was analyzed in terms of modulus and phase along a broad spectrum of frequencies (200–3000 kHz) using a nonparametric statistical analysis (Kruskal-Wallis). Results The analysis showed a clear difference among the tissues. The modulus and phase show the same changing trend with frequency and present lower values at higher frequencies. Among annulus fibrosus, endplate cartilage, sub-endplate cortical bone, and PLL, it was possible to discriminate each tissue at every frequency point, considering the phase (p < 0.05), while this was not always the case (i.e., annulus fibrosus vs PLL at frequency of 200 kHz, 400 kHz, and 3000 kHz, p > 0.05) for modulus. Among PLL, dura mater, spinal cord, and nerve root, for every comparison, a statistically significant difference was reported in the modulus, phase, or both (p < 0.05). Conclusions The results indicated the potential of bioelectrical impedance to provide real-time tissue differentiation and enhance safe PLL resection in anterior cervical decompression surgery, particularly in robot-assisted minimally invasive surgery (RMIS).

scholarly journals Posterior endoscopic cervical foramiotomy and discectomy: clinical and radiological computer tomography evaluation on the bony effect of decompression with 2 years follow-up

2020 ◽  
Author(s):  
Pang Hung Wu ◽  
Hyeun Sung Kim ◽  
Yeon Jin Lee ◽  
Dae Hwan Kim ◽  
Jun Hyung Lee ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Clinical Outcomes ◽  
Analogue Scale ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
3D Ct ◽  
Retrospective Evaluation ◽  
Neck Disability ◽  
Cervical Foraminotomy

Abstract Purpose Cervical radiculopathy is a common disabling cervical spine condition. Open anterior and posterior approaches are the conventional surgical treatment approaches with good clinical outcomes. However, the soft tissue damage in these procedures can lead to increase perioperative morbidity. Endoscopic spine surgery provides more soft tissue preservation than conventional approaches. We investigate the radiological and clinical outcomes of posterior endoscopic cervical foraminotomy and discectomy. Methods A prospective clinical and radiological study with retrospective evaluation were done for 25 patients with 29 levels of cervical radiculopathy who underwent posterior endoscopic cervical discectomy from November 2016 to December 2018. Clinical outcomes of Visual Analogue Scale, Neck Disability Index and MacNab’s score were evaluated at pre-operative, post-operative 1 week, 3 months and final follow-up. Preoperative and post-operative final follow-up flexion and extension roentgenogram were evaluated for cervical stability assessment. Pre-operative and post-operative computer tomography cervical spine evaluation of foraminal length in ventro-dorsal, cephalad-caudal dimensions, sagittal foraminal area and using 3D CT reconstruction coronal decompression area were done. Results Twenty-nine levels of cervical radiculopathy underwent posterior endoscopic cervical decompression. The mean follow-up was 29.6 months, and the most common levels affected were C5/6 and C6/7. There was a complication rate of 12% with 2 cases of neurapraxia and one case of recurrent of prolapsed disc. There was no revision surgery in our series. There was significant clinical improvement in Visual Analogue Scale and Neck Disability Index. Prospective comparative study between preoperative and final follow-up mean improvement in VAS score was 5.08 ± 1.75, and NDI was 45.1 ± 13.3. Ninety-two percent of the patients achieved good and excellent results as per MacNab’s criteria. Retrospective evaluation of the radiological data showed significant increments of foraminal dimensions: (1) sagittal area increased 21.4 ± 11.2 mm2, (2) CT Cranio Caudal length increased 1.21 ± 1.30 mm and (3) CT ventro-dorsal length increased 2.09 ± 1.35 mm and (4) 3D CT scan reconstruction coronal decompression area increased 536 ± 176 mm2, p < 0.05. Conclusion Uniportal posterior endoscopic cervical foraminotomy and discectomy are safe, efficient and precise choreographed set of technique in the treatment of cervical radiculopathy. It significantly improved clinical outcomes and achieved the objective of increasing in the cervical foramen size in our cohort of patients.

P–784 Neonatal follow-up of babies born derived from mono-pronuclear zygotes

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
H Tsuji ◽  
H Kitasaka ◽  
N Fukunaga ◽  
Y Asada
Keyword(s):  
Birth Weight ◽  
Embryo Transfer ◽  
Live Birth ◽  
Birth Defects ◽  
Congenital Anomalies ◽  
Clinical Utility ◽  
Average Height ◽  
Average Birth Weight ◽  
Significant Difference

Abstract Study question Are the neonatal outcomes normal of babies derived from the transfer of blastocysts derived from mono-pronuclear(1PN) zygotes? Summary answer There was no effect on growth or increase in congenital anomalies up to 18-months in babies of 1PN-derived births. What is known already 1PN zygotes are observed in ART, albeit at a low rate. We have previously reported that 80.7% of 1PN zygotes derived from IVF or ICSI had a biparental chromosome using Live Cell imaging techniques, and some of these developed to the blastocyst stage (Tokoro et al. ASRM 2013). Furthermore, we have reported that these blastocysts can result in a viable pregnancy and healthy live birth (Tsuji et al. ASRM2020). However, there is some uncertainty about the developmental mechanism of 1PN zygotes, and there is no clear consensus on their clinical utility. Study design, size, duration This was a retrospective study which included 55 cases where there was a live birth after single embryo transfer of a blastocyst derived from 1PN zygote. The incidence of birth defects, birth weight was recorded as well as a physical development survey of 25 children who responded to the 18-months follow-up survey. The time period was 72 months (January 2013 to December 2018). Participants/materials, setting, methods Patients seeking fertility treatment at an established private IVF clinic. We compared the birth weight, birth after18-months height and weight of children born to 1PN zygotes with data from a control, 2PN group. Statistical significance was determined using the t-test (level of P &lt; 0.05). Main results and the role of chance The incidence of birth defects in 1PN embryo-derived infants was 1.8% (1/55). The average birth weight of boys in the 1PN group was 3105.6+/–360.3g, which was not significantly different from 3041.0+/–443.3 g in the 2PN group. In girls, the average birth weight was 3085.7+/–454.9 g in the 1PN group, which was not significantly different from the 2PN group (2938.9+/–311.5 g). The average height at 18-months, was 81.6+/–2.5 cm vs 80.5+/–3.4 cm for boys; 79.0+/–1.8 cm vs 79.0+/–3.4 cm for girls in the 1PN and 2PN groups, respectively. The average body weights of the 1PN and 2PN groups were 11.1+/–1.1 kg vs 10.7+/–1.1 kg for boys; 9.7+/–0.9 kg vs 10.1+/–1.0 kg for girls, respectively. There was no significant difference in average height and weight up-to the 18-months follow-up survey. Limitations, reasons for caution The incidence of 1PN derived births is low and the study was limited to cases of single blastocyst embryo transfer. Wider implications of the findings: The incidence of congenital anomalies in Japan was around 1.7 to 2%, and the incidence was similar in the 1PN. There was no difference in the birth weight and 18-months follow-up survey of the 1PN compared with the 2PN. We have demonstrated that there is clinical utility of 1PN embryo. Trial registration number Not applicable

scholarly journals Evaluation of Anterior Decompression Surgical Outcomes of Proximal-type Cervical Spondylotic Amyotrophy, a Retrospective Study

2019 ◽  
Author(s):  
Chang-bo Lu ◽  
Zhen-sheng Ma ◽  
Jin-bo Hu ◽  
Zi-xiang Wu ◽  
Xiao-jiang Yang ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
Decompression Surgery ◽  
Anterior Decompression ◽  
Improvement Rate ◽  
Japanese Orthopedic Association ◽  
Cervical Spondylotic Amyotrophy ◽  
Neck Disability

Abstract Background To investigate the effect of anterior decompression on cervical spondylotic amyotrophy patients with cervical radiculopathy. Methods From January 2012 to December 2016, 21 patients with proximal-type cervical spondylotic amyotrophy(CSA) underwent anterior decompression were included. There were 15 males and 6 females, aged 35-73 years with an average of 51.62 years. All underwent surgery of anterior decompression (ACDF or ACCF). Among them, 12 patients underwent C4/5 single level ACDF, 8 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 results were assessed. The evaluation items include muscle strength, visual analog scale (VAS) score, neck disability index (NDI) score, Japanese Orthopedic Association (JOA) score, and improvement rate at the last follow-up. Neurological and radiological follow-up averaged 13.2 months. Results Severe preoperative muscle atrophy was observed in the deltoid or biceps muscles of 21 patients before surgeries. At the final follow-up, all patients showed statistically improvements in muscle strength, VAS scores, and NDI scores (P<0.05, P<0.05, P<0.05), especially for the deltoid muscles force and JOA scores (P<0.01, P<0.01), of which the average improvement rates were 66.49±10.04% and 62.23±9.23%, respectively. Conclusions For CSA patients, especially resulted from cervical radiculopathy, anterior decompression surgery can improve patient's muscle strength and nerve root compression symptoms and generally achieve satisfactory curative effects

Sign in / Sign up

Export Citation Format

Share Document