The effect of surgical decompression on functional balance testing in patients with cervical spondylotic myelopathy
Journal of Spinal Disorders & Techniques Nov 13, 2019
Haddas R, et al. - In a prospective cohort study, 30 people with symptomatic cervical spondylotic myelopathy (CSM) and 25 matched asymptomatic controls between the ages of 45 and 75 years underwent functional balance testing using a 3D motion capture system to gather kinematic and spatiotemporal parameters in order to quantify the extent of variation in dynamic balance and stability in a group of people with CSM following cervical decompression surgery and to contrast them with matched healthy controls. It was found that in the setting of CSM, human motion video capture could be employed to strongly quantify balance parameters. In comparison with healthy controls, such people showed raised standing sway and poorer performance on a tandem gait task. In many of the measures of functional balance, the surgical intervention led to notable betterment, although when measured 3 months following surgery, overall profiles had not fully restored to normal. These data strengthen the significance of operative intervention in the treatment of symptomatic CSM with the aim to prevent disease progression, however, the expectation that balance could truly enhance postoperatively.
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