Authors
Marie Roguski, Edward C Benzel, Jill N Curran, Subu N Magge, Erica F Bisson, Ajit A Krishnaney, Michael P Steinmetz, William E Butler, Robert F Heary, Zoher Ghogawala
Publication date
2014/12/1
Journal
Spine
Volume
39
Issue
25
Pages
2070-2077
Publisher
LWW
Description
Study Design.
Prospective observational cohort study.
Objective.
To determine if postoperative cervical sagittal balance is an independent predictor of health-related quality of life outcome after surgery for cervical spondylotic myelopathy.
Summary of Background Data.
Both ventral and dorsal fusion procedures for CSM are effective at reducing the symptoms of myelopathy. The importance of cervical sagittal balance in predicting overall health-related quality of life outcome after ventral versus dorsal surgery for CSM has not been previously explored.
Methods.
A prospective, nonrandomized cohort of 49 patients undergoing dorsal and ventral fusion surgery for CSM was examined. Preoperative and postoperative C2–C7 sagittal vertical axis was measured on standing lateral cervical spine radiographs. Outcome was assessed with 2 disease-specific measures—the modified Japanese Orthopedic Association scale and …
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