Study: Surgery Has Good Outcomes for Cervical Spine After Conservative Treatment

Patients with cervical spondylotic amyotrophy should initially undergo non-surgical treatment, but surgical treatment can be successful when conservative treatment fails, according to an article published in Spine.

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Researchers examined 90 inpatients with CSA, all of whom received continuous cervical traction for two to three weeks. If the conservative treatment failed, surgical intervention was performed with informed consent.

After the initial conservative treatment, 46.7 percent of patients showed excellent or good outcomes. Twenty-nine patients underwent surgery and 19 patients who didn’t experience good outcomes from conservative treatment declined surgery. Of the 61 patients in the conservative group who completed a follow-up, 40 percent still showed excellent or good neurologic status. This group primarily consisted of patients who were younger than 50 years and had symptoms for less than six months.

An additional five patients underwent surgery during follow-up because of deterioration. Of the 34 patients who underwent surgery and a follow up, 82 percent reported neurological improvement.

Read the report about treating patients with spinal conditions.

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