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Factors Affecting Postoperative Complications and Outcomes of Cervical Spondylotic Myelopathy with Cerebral Palsy : A Retrospective Analysis

Authors
 Hyung Cheol Kim  ;  Hyeongseok Jeon  ;  Yeong Ha Jeong  ;  Sangman Park  ;  Seong Bae An  ;  Jeong Hyun Heo  ;  Dong Ah Shin  ;  Seong Yi  ;  Keung Nyun Kim  ;  Yoon Ha  ;  Sung-Rae Cho 
Citation
 JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, Vol.64(5) : 808-817, 2021-09 
Journal Title
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY
ISSN
 2005-3711 
Issue Date
2021-09
Keywords
Cerebral palsy ; Cervical spondylotic myelopathy ; Kyhposis ; Postoperative complications ; Pseudoarthrosis
Abstract
Objective: Cervical surgery in patients with cervical spondylotic myelopathy (CSM) and cerebral palsy (CP) is challenging owing to the complexities of the deformity. We assessed factors affecting postoperative complications and outcomes after CSM surgery in patients with CP.

Methods: Thirty-five consecutive patients with CP and CSM who underwent cervical operations between January 2006 and January 2014 were matched to 35 non-cerebral palsy (NCP) control patients. Postoperative complications and radiologic outcomes were compared between the groups. In the CP group, the Japanese Orthopaedic Association score; Oswestry neck disability index; modified Barthel index; and values for the grip and pinch, Box and Block, and Jebsen-Taylor hand function tests were obtained preand postoperatively and compared between those with and without postoperative complications.

Results: Sixteen patients (16/35%) in the CP group and seven (7/35%) in the NCP group (p=0.021) had postoperative complications. Adjacent segment degeneration (p=0.021), postoperative motor weakness (p=0.037), and revisions (p=0.003) were significantly more frequent in the CP group than in the NCP group; however, instrument-related complications were not significantly higher in the CP group (7/35 vs. 5/35, p=0.280). The number of preoperative fixed cervical deformities were significantly higher in CP with postoperative complications (5/16 vs. 1/19, p=0.037). In the CP group, clinical outcomes were almost similar between those with and without postoperative complications.

Conclusion: The occurrence of complications during the follow-up period was high in patients with CP. However, postoperative complications did not significantly affect clinical outcomes.
Files in This Item:
T202105038.pdf Download
DOI
10.3340/jkns.2021.0012
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
Kim, Hyung Cheol(김형철)
Park, Sang Man(박상만)
Shin, Dong Ah(신동아) ORCID logo https://orcid.org/0000-0002-5225-4083
An, Seong Bae(안성배)
Yi, Seong(이성)
Jeon, Hyeong Seok(전형석)
Jeong, Yeong Ha(정영하)
Cho, Sung-Rae(조성래) ORCID logo https://orcid.org/0000-0003-1429-2684
Ha, Yoon(하윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187100
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