Surgical treatment of cervical spondylotic myelopathy associated with athetoid cervical palsy.

概要

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Operative treatment was performed on five patients with cervical spondylotic myelopathy associated with athetoid cerebral palsy. Four patients were treated by an anterior and posterior spinal fusion and only one patient was treated by laminectomy and posterolateral fusion, because the deformity of the cervical spine was wide.The halo-brace was used in each patient from preoperative days in order to immobilize the cervical spine and almost good bony fusion was obtained in all, but two patients showed a kyphotic change of the cervical spine. Symptoms improved in all five patients, but a little.We think that an anterior and posterior spinal fusions with modified Rogers' method is a good surgical treatments to obtain a good bony fusion for these patients.
西日本整形・災害外科学会の論文