Surgical Result And Affecting Factors Of Chronic Compressive Cervical Myelopathy

Objective: To discuss chronic compressive cervical myelopathy (CCCM) aftersurgery and its influencing factors. Method: Xinjiang Medical first hospital for thesurgical treatment of chronic compressive cervical myelopathy and complete follow updata of98patients were analyzed retrospectively study to examine whether the spinal cordafter their surgery, efficacy and patient age, preoperative signal change in the relationshipbetween the duration, the number of different spinal cord compression stage, operativetime, different cervical spinal canal diameter, whether the preoperative complications,postoperative complications, blood loss volume and efficacy. Result: Preoperative and lastfollow-up JOA score there was significant difference (t＝-12.15, P＜0.01), preoperativeand last follow-up Nurick grading there was significant difference (t＝13.526, P＜0.01).JOA score improvement rate of assessment: excellent76cases,15cases and poor in7cases, good rate of77.6%. Different age groups of the last follow-up surgery differencewas statistically significant (χ~2＝10.341, P＝0.006＜0.05). Cervical spinal cord MRIsignal whether to change the two last follow-up surgical treatment difference wasstatistically significant (t=-2.918, P=0.004＜0.05). Different course of the group’sfollow-up surgery the difference was statistically significant (χ~2＝5.526, P＝0.014＜0.05).Array of different spinal cord compression stage follow-up surgery was no significantdifference (χ~2＝1.205, P＝0.547＞0.05). Surgery follow-up surgery time group differencewas not statistically significant (χ~2＝0.025, P＝0.874>0.05). Surgery follow-up of thedifferent CBR group difference was statistically significant (χ~2＝9.633, P＝0.002＜0.001).Whether the preoperative follow-up surgery difference between the complications of twogroups was statistically significant (χ~2＝6.730, P＝0.009＜0.01). Last follow-up of spinalcord function of the two surgical methods to improve the rate difference was notstatistically significant (t＝-1.308, P＝0.248＞0.05). With or without postoperative complications in two groups of JOA score improvement between excellent and good ratewas not statistically significant (χ~2＝0.001, P=0.706＞0.05). Conclusion: Postoperativeeffects in patients with preoperative duration of preoperative spinal cordsignal change, age,anteroposterior diameter anteroposterior diameter of the cervical spinal canal/vertebralbody is related to the surgery has nothing to do with the numberof spinal cordcompression stage, surgery duration, need further large sample observationits influencethe relationship between the factors and efficacy.