Status: Not yet recruiting
Keywords: Cervical , Spondylotic Myelopathy , Kyphosis , Decompression , Neck , Spinal Cord
IRB Number: 00069689
Specialty: Neurosurgery, Neurosurgery
Sub Specialties: Spine Surgery, Neuro Spine Surgery
1a. To determine if ventral surgery is associated with superior SF-36 PCS (quality of life) outcome at one year follow-up compared to dorsal (fusion or laminoplasty) surgery.
1b. To determine if, compared to pre-operative baseline status, both ventral and dorsal surgery for CSM improve symptoms of spinal cord dysfunction using mJOA (self assessed functional measure scale).
2. To determine if, from a patient perspective, health resource utilization (out-of-pocket expenses and loss of productivity) for ventral surgery, dorsal fusion, and laminoplasty surgery are different.
3. To determine if cervical sagittal balance post-operatively is a significant predictor of SF-36 PCS (quality of life) outcome.
Surgical decompression for CSM can improve its disabling symptoms, but surgical complications are common and many of these complications affect patients’ overall health-related quality of life. The optimal surgical treatment, therefore, remains controversial, with disagreement between three main approaches: ventral decompression and fusion, dorsal decompression and fusion, or dorsal laminoplasty. This study aims to test the hypothesis that ventral surgery is associated with superior SF-36 PCS outcome at one year follow-up compared to dorsal approaches and that both ventral and dorsal surgery improve symptoms of spinal cord dysfunction using the mJOA score. A secondary hypothesis is that health resource utilization for ventral surgery, dorsal fusion, and laminoplasty surgery are different. A third hypothesis is that cervical sagittal balance post-operatively is a significant predictor of SF-36 PCS outcome.
Principal Investigator: Erica Bisson
Department: Neurosurgery - Adult
Co Investigator: Andrew Dailey
Co Investigator: Darrel Brodke
Co Investigator: Brandon Lawrence
Co Investigator: Meic Schmidt
Co Investigator: Ryan Spiker