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Posterior decompression and fusion in patients with multi-level cervical spondylotic myelopathy

Recruiting
Conditions
M47.12
Registration Number
DRKS00014285
Lead Sponsor
niversitätsklinikum Freiburg
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
100
Inclusion Criteria

Patients = 18 years with multi-level cervical spondylotic myelopathy treated surgically with multi-level posterior decompression and fusion
over the period 2004-2016.

Exclusion Criteria

Patients <18 years.
For measurement of cervical range of motion in outpatient examination: Uncooperative patients; Patients who can not sit on an examination chair due to other physical limitations; Patient with pacemaker and defibrillator.

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Major complications occuring within 30 days after posterior decompression and fusion in patients with multi-level cervical spondylotic myelopathy: death, myocardial infarction, vertebral artery injury, insult, pulmonary embolism, severe pneumonia with respiratory care, reoperation, new motor deficit KG = 3/5.<br>Incidence of complications in the further postoperative course (e.g., revision surgery).<br>The postoperative complications are retrospectively collected from medical records.<br>Current Cervical Spine Disorders / Pain on the numeric rating scale (NRS). The current complaints are collected in the outpatient clinic or via questionnaires or telephone interviews.<br>Objective measurement of parameters of cervical spine mobility (inclination, reclination, lateral tilt, and rotation).<br>For the objective measurement, a non-invasive measuring device (CROM3, Performance Attainment Associates), which has already been validated in several studies, is used.
Secondary Outcome Measures
NameTimeMethod
Minor complications occurring within 30 days after posterior decompression and fusion in patients with multi-level cervical spondylotic myelopathy: new motor deficit KG> 3/5, mild pneumonia with transient oxygen demand, postoperative confusion, urinary tract infection, transfusion-dependent anemia, deep vein thrombosis, hepatic insufficiency, dural lesion / CSF fistula.<br>The postoperative complications are retrospectively collected from medical records.<br>Subjective restriction of movement, information on quality of life and impairment in everyday life (e.g. driving), patient satisfaction.<br>The current complaints are collected in the outpatient clinic or via questionnaires or telephone interviews.
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