Kết quả bước đầu phẫu thuật điều trị bệnh lý tủy cổ đa tầng do thoái hóa tại Bệnh viện Bạch Mai

The study's objectives were to evaluate the initial outcomes of surgical treatment of multilevel cervical spondylotic myelopathy. Research Methods: An uncontrolled clinical intervention study evaluating outcomes before and after surgeryincluded 30 consecutive patients who underwent surgical treatment for multilevel cervical spondylotic myelopathy (M-CSM) from June, 2019 to Aug, 2021 at Orthopedic and Spine department, Bach Mai hospital. Results: Mean age 63.10 ± 9.82 (from 39 - 79 years old), 19 male patients (63.3%), 11 female patients (36.7%). Male/Female ratio ≈ 2/1. The average follow-up time was 13.13 months.The average mJOA score preoperative, postoperative, and follow-up was 10.17, 13.53, and 16.17, respectively. The average cervical myelopathy recovery rate after surgery and follow-up time was 45.46% and 76.69%, respectively. The patient with the onset ≥6 months had a worse rate of cervical myelopathy recovery at the time of final follow-up (p=0.021). Regional Cobb angle and C2-C7 Cobb angle of the group of patients with anterior surgery improved significantly compared to patients with posterior surgery (p = 0.006 and 0.029, respectively). The posterior approach had a shorter operation time but more blood loss than the anterior approach (p<0.001). Conclusion: Initial surgical outcomes for multilevel cervical spondylotic myelopathy were good at two approaches.