Surgical Outcome of Cervical Myelopathy in Elderly Patients

  • Yone Kazunori
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan
  • Hayashi Kyoji
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan
  • Yamamoto Takuya
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan
  • Nagatomo Yoshimi
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan
  • Nagata Masahito
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan
  • Nakamura Shunsuke
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan
  • Matsunaga Shunji
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan
  • Komiya Setsuro
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences Kagoshima University, Kagoshima, Japan

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Other Title
  • 高齢者の圧迫性頚髄症の治療成績

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Abstract

The purpose of this study was to clarify the efficacy and benefits of surgical treatment in elderly patients with cervical myelopathy. Postoperative JOA score and neurological improvement rate were lower in elderly patients than in younger adult patients. In most elderly patients with cervical myelopathy who did not undergo surgical treatment, however, neurological deficits worsened gradually. Moreover, the survival rate at five years after the first admission to our clinic was 0.915 in elderly patients who were treated surgically, but 0.745 in those who did not undergo surgical treatment, suggesting that surgical treatment should be performed even on elderly patients with cervical myelopathy.

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