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- W3025982029 abstract "Anterior or posterior approaches have been shown to be effective in the treatment of cervical stenosis and myelopathy (CSM). There exists, however, a group of patients in whom both the anterior and posterior approaches are necessary to treat the stenosis and deformity. To better identify the indications and outcomes of the contemporaneous anterior + posterior approaches (CAP), we retrospectively reviewed the records of patients who have been treated with this method. Between 2006 and 2018, 37 patients were treated with CAP for kyphosis , stenosis, and subluxation , with a median follow-up of 20 months (range: 5–112 months). We examined their radiographic metrics, health-related outcomes, and complications. The indication for CAP was severe kyphosis in 12 cases, severe stenosis in 9, and subluxation in 7. Proximal junctional kyphosis was the indication in 4 cases, failure of instrumentation with kyphosis in 3 cases, and adjacent segment degeneration in 2. Kyphosis was corrected in all. Nine patients suffered a total of 14 complications. Six patients developed dysphagia , 2 developed spinal fluid leaks, 1 meningitis, 2 wound dehiscence , and 1 C5 palsy. None were life-threatening and all resolved with appropriate management. The CAP approach, undertaken in cases of CSM associated with severe kyphosis, stenosis, and subluxation, led to a significant correction in kyphosis. There was total of 14 complications, comparable to previously published reports." @default.
- W3025982029 created "2020-05-21" @default.
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- W3025982029 date "2020-08-01" @default.
- W3025982029 modified "2023-09-26" @default.
- W3025982029 title "Indications and Outcomes for Contemporaneous Anteroposterior Surgery in Cervical Stenosis and Myelopathy: Single Center Experience" @default.
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- W3025982029 doi "https://doi.org/10.1016/j.wneu.2020.05.106" @default.
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