Summary
Complaints resulting from reduced neck movements were investigated in 50 patients who had operations for cervical spondylotic myelopathy. Seventy per cent had difficulty in performing 11 basic movements of daily living. Lateral bending or rotation were more difficult than flexion and extension. To look backwards was the most difficult movement. Complaints were highest among those in whom more than three levels of fusion had been carried out.
Résumé
La gêne dûe à la réduction d'amplitude des mouvements du cou chez 50 patients opérés pour spondylo-myélopathie cervicale est étudiée. Soixante-douze pour cent des malades ont des difficultés pour faire 11 mouvements fondamentaux de la vie quotidienne. Les mouvements qui nécessitent une inflexion latérale ou une rotation sont plus difficiles à pratiquer que les mouvements nécessitant de la flexion extension. “Regarder en arrière” est le mouvement le plus difficile à exécuter et seulement 32% des malades ne sont pas gênés du tout. C'est parmi les malades dont la fusion antérieure intéresse 3 niveaux ou plus que se rencontre le plus grand nombre de plaintes fonctionnelles.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ålund M, Larson SE (1990) Three-dimensional analysis of neck motion: a clinical method. Spine 15: 87–91
Boni M, Cherubino P, Benazoo F (1984) Multiple subtotal somatectomy: Technique and evaluation of a series of thirty nine cases. Spine 9: 358–362
Dvorak J, Antiness JA, Panjbi M, Loustalot D, Bonomo M (1992) Age and gender related normal motion of the cervical spine. Spine 17: 393–398
Hirabayashi K, Watanabe K, Wakano K (1983) Expansive open-door laminoplasty for cervical spinal stenotic myelopathy. Spine 8: 693–699
Hukuda S, Mochizuki T, Ogata M, Shichikawa K, Shimomura Y (1985) Operations for cervical spondylotic myelopathy: a comparison of the results of anterior and posterior procedures. J Bone Joint Surg [Br] 67: 609–615
Itoh T, Tsuji H (1985) Technical improvements and results of laminoplasty for compressive myelopathy in the cervical spine. Spine 10: 729–736
Kurokawa T, Tsuyama N, Tanaka H, Machida H, Nakamura K, Iizuka T, Hoshino Y (1984) Double door laminoplasty through longitudinal splitting of the spinous process for cervical cervical spondylotic myelopathy. Rinsho Seikeigeka 19: 483–490 [in Japanese]
Lysell E (1969) Motion in the cervical spine. Acta Orthop Scand 123 [suppl]: 1–61
Mann K, Khosla V, Gulanti D (1984) Cervical spondylotic myelopathy treated by single stage multilevel anterior decompression. J Neurosurg 60: 81–87
Moroney SP, Schultz AB, Miller JAA (1988) Load-displacement properties of lower cervical spine motion segments. J Biomech 769–779
Yonenobu K, Fuji T, Ono K, Okada K, Yamamoto T, Harada N (1985) Choice of surgical treatment for multisegmental cervical spondylotic myelopathy. Spine 10: 710–716
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Okamoto, A., Shinomiya, K. & Furuya, K. Reduced neck movement after operations for cervical spondylotic myelopathy. International Orthopaedics 19, 295–297 (1995). https://doi.org/10.1007/BF00181113
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00181113