Cervical spondylosis is known to be one of the most common disorders involving bony and neural structures of cervical region and shows variety of clinical menifestations, namely radiculopathy, myelopathy, or both. Also, the outcome of the
treatment
of
this disorder, whether surgical or nonsurgical, shows wide variations according to handful reports from different institutions. The purpose of this report is to assess the patients treated by our department for their spondylogenic symptoms.
The results of treatments from 102 patients with cervical spondylotic radiculopathy and/or myelopathy were clinically assessed. Among them, thirty eight patients were undelwent operation and followed up for at least six to twelve month period.
Remaining
sixty four patients were treated conservatively for three weeks to three months.
@ES The results are as follows :
@EN 1) Among 102 patients, the most common type was combined myeloradiculopathy (57.8%).
2) mean age was 52 years with range between 31 to 74 years. Male to female ratio was about three to one.
3) Multiple level involvement was 52% and C5-6 was the most commonly involved level by single lesions.
4) Mean AP diameter of cervical canal of the spondylotic patients, as compared with the control group, was significantly narrowed (p<0.01).
5) Overall outcome by conservative treatment showed 65.3% improvement and 86.8% improve ment by operative treatment.
6) Among various clinical factors studied (age, severity, duration of symptoms, multiple level involvement, methods fo operation), only the degree of severity revealed statistically significant effect on outcome of both conservative and
operative
group.
7) There were three cases of mild transient neurological complications and one case of technical complication (graft extrusion).
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