Türk Nöroşirürji Dergisi 2009 , Vol 19 , Num 2
Clinical Evaluation and Changing of the Cervical Lordosis Angle after Anterior and Posterior Cervical Approach in the Early Postoperative Period
Salih GÜLŞEN, Cem YILMAZ, Özgür ÖZDEMİR, Serhat CÖMERT, Hakan CANER, Nur ALTINÖRS
Başkent Üniversitesi, Beyin Cerrahisi AD, Ankara, Türkiye AIM: We investigated changing of the cervical lordotic angle after anterior cervical approach and posterior cervical approach including cervical laminoplasty and cervical laminectomy + lateral mass screw fixation. In addition, we investigated clinical consequences of the changing of the cervical lordotic angle.

MATERIAL and METHODS: Thirty-six patients were investigated in three different groups. Cervical lordos angle and spinal geometric assesment were performed in all extremity pain, and motor examination was performed in group 1, preoperatively and postoperatively.

RESULTS: Cervical lordosis angle was improved and showed statistically meaningful difference regarding preoperative period in group 1, but cervical lordosis angle was not showed any changing postoperatively in group 2 and 3. Muscle strength showed statistically significant difference in group 1. All patients in group1 showed better results in terms of neck- shoulder and extremity pain at the post operative period than preoperative period regarding visual analog pain scale.

CONCLUSION: Patients who underwent laminectomy+ fixation with lateral mass screws and laminoplasty showed no changing in cervical lordosis angle, but patients who underwent anterior cervical discectomy showed that increased cervical lordotic angle and better clinical outcome. Anahtar Kelimeler : Cervical spine, Cervical spondylosis, Dorsal surgery, Ventral surgery