Abstract.
After a mean follow-up period of 7 years (range 4–17 years), we reviewed the cases of 14 patients who underwent surgical treatment for cervical spondylotic myelopathy associated with athetoid cerebral palsy. All of the patients who underwent anterior decompression and arthrodesis showed degeneration and increased range of motion of the adjacent disc despite halo-vest immobilization postoperatively. Laminoplasty is useful in cases in which physiological lordosis is present preoperatively, whereas a case with preoperative kyphotic deformity showed increased neurological symptoms and deterioration of activities of daily living postoperatively due to increased kyphotic deformity and canal stenosis. Anterior decompression and arthrodesis following posterior fusion with lateral mass plating and posterior wiring is a favorable option for patients with highly kyphotic deformity and canal stenosis, as it preserves neurological status and cervical alignment postoperatively.
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Received: January 18, 2002 / Accepted: June 21, 2002
Acknowledgments. The authors thank Masahiro Kamikozuru, M.D. (Saitama Prefectural Rehabilitation Center), Hirokazu Satoh, M.D. (Saiseikai Kawaguchi General Hospital), Osamu Nakai, M.D. (Kudanzaka Hospital), Michiyuki Fuchioka, M.D. (Saitama Prefectural Rehabilitation Center), and Hiroyuki Yamada, M.D. (Saiseikai Kawaguchi General Hospital) for kindly providing cases and for data collection.
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Haro, H., Komori, H., Okawa, A. et al. Surgical treatment of cervical spondylotic myelopathy associated with athetoid cerebral palsy. J Orthop Sci 7, 629–636 (2002). https://doi.org/10.1007/s007760200113
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DOI: https://doi.org/10.1007/s007760200113