ArticleJournal of craniovertebral junction & spine
Impact of surgeries on normal match of T1 slope and cervical lordosis in cervical spondylotic myelopathy.
Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Objective: The objective of this study was to explore the normal matching changes between T1 slope (T1S) and cervical lordosis (CL) in patients with multilevel cervical spondylotic myelopathy (CSM) after anterior and posterior reconstruction surgeries. Materials and Methods: One hundred thirty-four patients diagnosed with multilevel CSM and a normal matching of T1S-CL were enrolled from the medical records spanning 2015-2020. The anterior group comprised 69 patients, and the posterior group included 65 patients. This study retrospectively analyzed perioperative parameters, including clinical parameters of the Japanese Orthopedic Association (JOA) score, Visual Analog Scale (VAS), neck disability index (NDI), and radiologic parameters T1S, CL, C2-7 sagittal vertical axis (SVA), and T1S-CL. Results: Prior to surgery, there were no significant differences in factors between two groups ( Conclusions: Anterior reconstruction surgeries can improve or optimize the normal matching of T1S-CL, while a mismatching of T1S and CL is more likely to occur after posterior surgery, potentially leading to cervical sagittal malalignment and imbalance in patients with multilevel CSM.
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