Authors
Zoher Ghogawala, Brook Martin, Edward C Benzel, James Dziura, Subu N Magge, Khalid M Abbed, Erica F Bisson, Javed Shahid, Jean-Valery CE Coumans, Tanvir F Choudhri, Michael P Steinmetz, Ajit A Krishnaney, Joseph T King Jr, William E Butler, Fred G Barker, Robert F Heary
Publication date
2011/3/1
Journal
Neurosurgery
Volume
68
Issue
3
Pages
622-631
Publisher
LWW
Description
BACKGROUND:
Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction.
OBJECTIVE:
To determine the feasibility of a randomized clinical trial comparing the clinical effectiveness and costs of ventral vs dorsal decompression with fusion surgery for treating CSM.
METHODS:
A nonrandomized, prospective, clinical pilot trial was conducted. Patients ages 40 to 85 years with degenerative CSM were enrolled at 7 sites over 2 years (2007-2009). Outcome assessments were obtained preoperatively and at 3 months, 6 months, and 1 year postoperatively. A hospital-based economic analysis used costs derived from hospital charges and Medicare cost-to-charge ratios.
RESULTS:
The pilot study enrolled 50 patients. Twenty-eight were treated with ventral fusion surgery and 22 with dorsal fusion surgery. The average age was 61.6 years. Baseline demographics and health-related quality of …
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Scholar articles
Z Ghogawala, B Martin, EC Benzel, J Dziura… - Neurosurgery, 2011