Abstract
We studied the surgical outcome in 21 cases of simultaneous cervical and lumbar surgery for combined symptomatic cervical spondylotic myelopathy (CSM) and lumbar canal stenosis (LCS). All patients underwent open-door laminoplasty for CSM and laminectomy for LCS. There were 13 men and 8 women with a mean age of 70 years (range, 49 to 84 years)and a mean follow-up period of 4 years (range, 18 to 113 months). The mean JOA score (scoring system of Japanese Orthopaedic Association for cervical myelopathy) was 7.4 points (range, 4-11) before surgery and improved to 12.6 points (range,7-16) after surgery. The mean recovery rate was 54.1%. There were no cases of neurological deterioration after surgery. Simultaneous cervical and lumbar posterior decompression was useful for combined symptomatic CSM and LCS in these cases.
