The Relationship of Minor Trauma with the Surgical Outcome in Patients with Cervical Myelopathy (경미한 외상이 경추 척수병증 환자의 수술 결과에 미치는 영향)

김민우; 이규열; 김동률; 정영훈; Chul Soon Im (임철순)

The Relationship of Minor Trauma with the Surgical Outcome in Patients with Cervical Myelopathy

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2015, 22(4), pp.133-139
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

김민우 ¹, 이규열 ¹, 김동률 ¹, 정영훈 ¹, Chul Soon Im ¹

¹동아대학교

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: To determine the influence of trauma on the neurologic course in patients who have undergone surgery for cervical myelopathy. Summary of Literature Review: The postsurgical outcomes were worse from trauma in patients who had a cervical ossification of the posterior longitudinal ligament (OPLL) or cervical canal stenosis, in comparison with patients who did not. Materials and Methods: The study was conducted on 70 patients who had undergone surgery due to cervical myelopathy from January 2004 to December 2013 and had at least 1 year of follow-up. Depending on trauma history, the patients were divided into two groups, and their radiological (simple radiographic, computed tomographic, and magnetic resonance imaging) and clinical (Japanese Orthopaedic Association [JOA] score, motor power of upper extremities) results were compared retrospectively. Results: Among 70 patients in total, 18 patients were in the trauma group and 52 were in the non-trauma group, and all cases in the trauma group had a history of minor trauma (11 cases of drivers traffic accidents, 4 cases of slipping and falling, 2 cases of minor pedestrian accidents, and 1 case of falling). Radiologically narrower diameter of the spinal canal showed statistically significant difference between two groups (p=0.042). The JOA scores before and after surgery and the recovery rate did not have a clinically meaningful difference with trauma. However, the degree of motor improvement was significantly higher for the trauma group within 1 week after surgery (p=0.040). Conclusions: Minor trauma itself may adversely affect the patients’ clinical courses.

KEYWORDS

Trauma, Myelopathy, Recovery

Citation status

* References for papers published after 2023 are currently being built.

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