Factors Affecting Postoperative Complications and Outcomes of Cervical Spondylotic Myelopathy with Cerebral Palsy : A Retrospective Analysis

Objective : Cervical surgery in patients with cervical spondylotic myelopathy (CSM) and cerebral palsy (CP) is challenging owing to the complexities of deformity. We assessed factors affecting postoperative complications outcomes after CSM CP.Methods Thirty-five consecutive CP who underwent operations between January 2006 2014 were matched 35 non-cerebral (NCP) control patients. Postoperative radiologic compared groups. In group, Japanese Orthopaedic Association score; Oswestry neck disability index; modified Barthel values for grip pinch, Box Block, Jebsen-Taylor hand function tests obtained preand postoperatively those without complications.Results Sixteen (16/35%) group seven (7/35%) NCP (p=0.021) had complications. Adjacent segment degeneration (p=0.021), motor weakness (p=0.037), revisions (p=0.003) significantly more frequent than group; however, instrument-related not higher (7/35 vs. 5/35, p=0.280). The number preoperative fixed deformities (5/16 1/19, p=0.037). clinical almost similar complications.Conclusion occurrence during follow-up period was high CP. However, did affect outcomes.