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| Effects of Cervical Discectomy Combined with Subtotal Vertebrectomy and Bone Graft Internal Fixation on Clinical Efficacy, Neurological Function and Pain in the Treatment of Patients with Multilevel Cervical Spondylotic Myelopathy |
| XI Shu,CHEN Xi,WANG Xiangfeng |
| The First People's Hospital of Chuzhou City, Anhui Chuzhou 239001, China |
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Abstract Objective: To explore the effects of cervical discectomy combined with subtotal vertebrectomy and bone graft internal fixation on clinical efficacy, neurological function and pain in patients with multilevel cervical spondylotic myelopathy (MCSM).Methods: A total of 103 patients with MCSM were selected. Among them, 46 cases with posterior open-door spinal canaloplasty and mini-titanium plate internal fixation were included in control group, and 57 cases with cervical discectomy combined with subtotal vertebrectomy and bone graft internal fixation were included in observation group. The surgical situation and hospital stay, clinical efficacy, spinal cord nerve function [Japanese Orthopedics Association (JOA) score], Neck Disability Index (NDI), pain [Visual Analogue Scale (VAS)], cervical range of motion and complications were compared between the two groups. Results: Compared with control group, the surgical time was prolonged, intraoperative blood loss was reduced, and hospital stay was shortened in observation group (P<0.05). The total effective rate of treatment was 71.93% (41/57) in observation group and 69.56% (32/46) in control group respectively (P>0.05). At 6 months after surgery, comparison of differences of JOA score, NDI score and pain VAS score before and after surgery showed no statistical significance between the groups (P>0.05), and the difference of cervical range of motion before and after surgery in observation group was greater than that in control group (P<0.05). The incidence rate of postoperative complications of 5.26% in observation group was lower than 19.56% in control group (P<0.05). Conclusion: Cervical discectomy combined with subtotal vertebrectomy and bone graft internal fixation has short-term efficacy on patients with MCSM, and it can effectively improve the spinal cord nerve function and pain, and it is beneficial to maintaining the cervical range of motion and reducing the postoperative complications.
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2022, Vol. 28 
