Prognostic factors in cervical spondylotic myelopathy: A clinical prospective study

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dc.contributor.authorGöçmez, Cüneyt
dc.contributor.authorKoç, Rahmi Kemal
dc.contributor.authorTücer, Bülent
dc.contributor.authorMenkü, Ahmet
dc.contributor.authorKurtsoy, Ali
dc.date.accessioned2024-04-24T17:56:24Z
dc.date.available2024-04-24T17:56:24Z
dc.date.issued2015
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractObjective: Various factors may affect the surgical outcome in patients with cervical spondylotic myelopathy (CSM). The purpose of the present study was to determine these factors based on preoperative radiologic and clinical data. Methods: A total of 50 patients who underwent surgery for CSM and were followed up for at least 12 months postoperatively were enrolled in the study. The patients' preoperative and final neurologic status was assessed using the Japan Orthopedic Association (JOA) scoring system. JOA scores and prognostic factors such as sex, age, duration of symptoms, sagittal alignment, number of disks compressed, signal intensity on T1-weighted and T2-weighted magnetic resonance (MR) images, and the diameter of the spinal channel were evaluated. Results: The average preoperative and postoperative JOA scores were 10.9±3.4 and 15.0±2.4, respectively. The mean percentage of improvement for patients with CSM was 62.6±25.0% (P<0.05). The effects of sex difference, number of disks involved, and sagittal alignment on prognosis were not statistically significant (P>0.05). However, patients younger than 50 years, with duration of symptoms <1 year and no signal increase on T2-weighted MR images were predicted to have more neurologic improvement (P<0.05). Conclusions: We found that sex, number of degenerated disks, and sagittal alignment had no effect on prognosis. Notably, age below 50 years, duration of symptoms <1 year, and no signal increase on T2-weighted MR images affected surgical outcomes positively.en_US
dc.identifier.citationGöçmez, C., Koç, R. K., Tücer, B., Menkü, A. ve Kurtsoy, A. (2015). Prognostic factors in cervical spondylotic myelopathy: A clinical prospective study. Neurosurgery Quarterly, 25(1), 34-40.
dc.identifier.doi10.1097/WNQ.0b013e3182a2fe31
dc.identifier.endpage40en_US
dc.identifier.issn1050-6438
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-84923648170
dc.identifier.scopusqualityN/A
dc.identifier.startpage34en_US
dc.identifier.urihttps://doi.org/10.1097/WNQ.0b013e3182a2fe31
dc.identifier.urihttps://hdl.handle.net/11468/23491
dc.identifier.volume25en_US
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofNeurosurgery Quarterly
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervical spondylosisen_US
dc.subjectCervical spondylotic myelopathyen_US
dc.subjectMyelopathyen_US
dc.subjectPrognostic factorsen_US
dc.titlePrognostic factors in cervical spondylotic myelopathy: A clinical prospective studyen_US
dc.titlePrognostic factors in cervical spondylotic myelopathy: A clinical prospective study
dc.typeArticleen_US

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