If surgery is accomplished before the establishment of myelopathy, prognosis will be good, but with delay in diagnosis and from diagnosis to management the myelopathic
changes may become irreversible with poor prognosis.
More recently, some studies have investigated the frequency of myelopathic
clinical exam findings.
As an example of the use of this assay, we had the opportunity to evaluate a 25-year-old woman with a 6-year history of myelopathic
spasticity, peripheral neuropathy, and dysphagia.
Is surgery indicated for asymptomatic or mildly myelopathic
patients with ossification of the posterior longitudinal ligament?
This can give insight into the present and extent of myelopathic
changes that may be too subtle for routine imaging to reveal (Figures 9 and 10).
In that study, 14 of the 30 nonambulatory patients (47%) died of myelopathic
complications, such as pneumonia, infected pressure sores, and urosepsis, which are the leading causes of death in the first year after traumatic SCI.
significant VASPI score improvement was found in patients with myelopathic
pain (19% vs.
On average, the patients had experienced myelopathic
symptoms for 18 months, but some of them were not diagnosed for up to 2 years because they did not have the typical reflex problems, Dr.
The children were "quite myelopathic
," and two had a unique cervical deformity, he said.
For instance, the surgical goal for a patient with myelopathy is to stop the patient from becoming more myelopathic
, but improvement would not be expected.
6,7] even in supracondylar femur fractures in myelopathic
, nonambulatory patients good results were obtained with surgical management.