Posted in Volume 15 - Number 4 Suppl
MUHAMMAD HAMID ALI, VASHDEV, BILAL FAZAL SHAIKH, ADNAN MAQSOOD CHOUDHRY
ABSTRACT | Full Text PDF
OBJECTIVE: To compare the changes in the sensory and motor functions after the, anterior surgical approach for cervical prolapsed intervertebral disc.
METHODS: From June 2007 to December 2008, in the Department of Neurosurgery, Liaquat University of Medical & Health Science, Jamshoro, Sindh, Pakistan, 20 patients subjected to surgical intervention for prolapsed cervical intervertebral disc by the various methods of anterior cervical dissectomy that is with or without graft and with or without plating were studied for one and half year of period. All our patients were investigated by magnetic resonance imaging along with routine investigations. A predesigned proforma was used to collect the data, and analyzed with Social package of statistical analysis (SPSS) version 17.0.
RESULTS: Out of fifty patients forty six showed immediate improvement in pain. Other four patients became pain free in 12 weeks follow up. All forty patients who presented with sensory deficit showed improvement in sensory symptoms to various degrees in few weeks to few months. Out of forty patients 16 showed improvement in sensory deficit i.e. numbness after two weeks. Out of thirty seven patients thirty two showed improvement in motor deficit in 12-20 weeks period.
CONCLUSION: Decompression of the cervical spine by the anterior approach whether combined with bone grafting or not is an effective approach and is much safer than the posterior decompression method.
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