抄録
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.
