Best of the AANS Session-Early Results From The Multi-Center Prospective, Randomized CSM-S Study

Early Results From The Multi-Center Prospective, Randomized CSM-S Study

Video Transcription

Video Summary

The video transcript is a presentation by Zoe Gogowalla on the early results of the Cervical Spondylotic Myelopathy Surgical Trial (CSMS). The trial aimed to compare ventral and dorsal surgery for cervical myelopathy in a randomized controlled trial. The study enrolled 269 patients and randomized 163. The primary outcome measure was the one-year change in SF36 physical component summary score. The results showed no difference between ventral and dorsal surgery in terms of this outcome. However, when examining the different surgical strategies, laminoplasty was associated with superior health-related quality of life, fewer complications, and less outpatient health resource utilization. The limitations and need for future randomized controlled trials were mentioned. The study was funded by federal grants and the Allen and Jackie Stewart Spine Research Center.

Keywords

Cervical Spondylotic Myelopathy Surgical Trial

ventral surgery

dorsal surgery

SF36 physical component summary score

laminoplasty