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Cervical myelopathy study presented with top scientific poster award
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BOSTON — On the final day of the Congress of Neurological Surgeons Annual Meeting here, several scientific posters were recognized as Neurosurgical Forum Winners, announced by Steven N. Kalkanis, MD.
Among those awarded were Marie Roguski, MD, and colleagues, for their study “Postoperative cervical sagittal imbalance negatively affects outcome following surgery for cervical spondylotic myelopathy.” The prospective, randomized, four-center study included 49 patients during a 2-year period. Patients with degenerative cervical spondylotic myelopathy and cervical spinal cord compression at two or more levels were eligible for inclusion.
Outcome measures such as Oswestry Disability Index for neck pain, SF-36 physical scoring component (PSC) and EQ-5D were measured preoperatively and at 3-month, 6-month and 1-year follow-ups. During follow-up, most patients experienced postoperative improvement in most outcome measures, according to the researchers.
Roguski and colleagues concluded that preoperative and postoperative sagittal balance measurements were independent predictors of improvement in SF-36 PCS scores. However, the majority of patients with a sagittal balance value greater than 40 mm did not improve from an overall health-related quality of life perspective despite improvement in myelopathy, according to the researchers.
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