| Neck motion following multilevel anterior cervical fusion: comparison of short-term and midterm results. | |
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MedLine Citation:
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PMID: 23373566 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Object Multilevel anterior cervical decompression and fusion is indicated for patients with multilevel compression or stenosis of the spinal cord. Some have reported that this procedure would lead to a loss of cervical range of motion (CROM). However, few studies have demonstrated the exact impact of the procedure on CROM. Here, the authors describe short- and midterm postoperative CROM following multilevel anterior cervical decompression and fusion. Methods Thirty-five patients underwent a 3- or 4-level anterior cervical decompression and fusion. In all patients, active CROM was measured preoperatively and at both the short-term (3-4 months) and midterm (12-15 months) follow-ups by using a CROM device. The preoperative and postoperative data were analyzed using ANOVA (α = 0.05). Results Patients had significantly less ROM in all planes of motion postoperatively. The greater limitation in CROM was observed at the short-term follow-up. However, at the midterm follow-up, an obvious increase in CROM was observed in each cardinal plane compared with that in the short-term (sagittal plane 17.4%, coronal plane 14.1%, and horizontal plane 19.5%). A gradual increase in the CROM in each cardinal plane was observed during the recovery period in 5 patients. In the 6 conventional motions, the major recovery of CROM was observed in flexion (27.5%), while relatively less recovery was seen in extension (10.5%). Conclusions Patients had an obvious reduction in active CROM following multilevel anterior cervical decompression and fusion. The greater limitation in CROM was observed at the short-term follow-up. In the midterm follow-up, however, an obvious recovery in CROM was observed in each cardinal plane, reducing the restriction of neck motion further. |
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Authors:
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Xiao-Dong Wu; Wen Yuan; Hua-Jiang Chen; Yu Chen; Jian-Xi Wang; Peng Cao; Ying Zhang; Xin-Wei Wang; Li-Li Yang; Yuan-Yuan Chen; Nicholas Tsai |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-2-1 |
Journal Detail:
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Title: Journal of neurosurgery. Spine Volume: - ISSN: 1547-5646 ISO Abbreviation: J Neurosurg Spine Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-2-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101223545 Medline TA: J Neurosurg Spine Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China; and. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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