ArticleJournal of orthopaedics2025
Anterior-only decompression insufficient in concentric stenosis in degenerative cervical myelopathy.
Article in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Epidemiology of hospitalization and surgical therapy in degenerative cervical myelopathy: A Nationwide discharge-based twenty year analysis.International orthopaedics · 2026Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Aims & objectives: The compression of the spinal cord can result in degenerative cervical myelopathy (DCM), a condition characterized by progressive neurological dysfunction.This study examines clinical outcomes after anterior decompression and predictors of secondary posterior decompression after initial anterior surgery. Materials & methods: We conducted a retrospective review of 94 consecutive patients who underwent anterior-only cervical decompression in DCM. Preoperative variables (demographics, neurological and clinical status, spine anatomy) were entered into a multivariate logistic regression to determine associations with secondary posterior decompression. Neurologic function was assessed by the JOA score. Results: Nine of 94 patients (9.6 %) underwent secondary posterior decompression for persistent myelopathic symptoms, of which all presented with a concentric spinal canal stenosis. In multivariate analysis, higher ASA score (p = 0.042), concentric stenosis (p = 0.008) and osteoporosis (p = 0.044) were independently associated with increased revision risk. At six weeks, the anterior-only cohort achieved a mean JOA score of 15.44, compared to 12.60 in those undergoing revision (measured pre-revision). Conclusion: Concentric stenosis morphology, compromised bone quality, and elevated ASA status independently predict failure of anterior-only decompression. In patients exhibiting this high-risk profile, a primary combined anterior-posterior approach should be strongly considered to ensure circumferential decompression and optimize early neurologic recovery.
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