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Variations in Practice among Asia–Pacific Surgeons and Recommendations for Managing Cervical Myelopathy: The First Asia–Pacific Spine Society Collaborative Study
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Type
Academic journal
Author
Jason Pui Yin Cheung (Department of Orthopaedics and Traumatology The University of Hong Kong Pokfulam Hong Kong SAR Chin) Prudence Wing Hang Cheung (Department of Orthopaedics and Traumatology The University of Hong Kong Pokfulam Hong Kong SAR Chin) Chee Kidd Chiu (National Orthopaedic Centre of Excellence for Research and LearningUniversity of Malaya)
Journal
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.1 KCI Accredited Journals
Published
2019.1
Pages
45 - 55 (11page)

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Variations in Practice among Asia–Pacific Surgeons and Recommendations for Managing Cervical Myelopathy: The First Asia–Pacific Spine Society Collaborative Study
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Study Design: Surgeon survey. Purpose: To study the various surgical practices of different surgeons in the Asia–Pacific region. Overview of Literature: Given the diversity among Asia–Pacific surgeons, there is no clear consensus on the preferred management strategies for cervical myelopathy. In particular, the role of prophylactic decompression for silent cervical spinal stenosis is under constant debate and should be addressed. Methods: Surgeons from the Asia–Pacific Spine Society participated in an online questionnaire comprising 50 questions. Data on clinical diagnosis, investigations and outcome measures, approach to asymptomatic and silent cervical spinal stenosis, guidelines for surgical approach, and postoperative immobilization were recorded. All parameters were analyzed by the Mantel–Haenszel test. Results: A total of 79 surgeons from 16 countries participated. Most surgeons used gait disturbance (60.5%) and dyskinetic hand movement (46.1%) for diagnosis. Up to 5.2% of surgeons would operate on asymptomatic spinal stenosis, and 18.2% would operate on silent spinal stenosis. Among those who would not operate, most (57.1%) advised patients on avoidance behavior and up to 9.5% prescribed neck collars. For ossification of the posterior longitudinal ligament (OPLL), anterior removal was most commonly performed for one-level disease (p <0.001), whereas laminoplasty was most commonly performed for two- to four-level disease (p =0.036). More surgeons considered laminectomy and fusion for multilevel OPLL. Most surgeons generally preferred to use a rigid neck collar for 6 weeks postoperatively (p <0.001). Conclusions: The pooled recommendations include prophylactic or early decompression surgery for patients with silent cervical spinal stenosis, particularly OPLL. Anterior decompression is primarily suggested for one- or two-level disease, whereas laminoplasty is preferred for multilevel disease.

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