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68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

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Syringomyelia associated with Cervical Spondylotic Myelopathy causing Canal Stenosis. A rare Asscociation

Meeting Abstract

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  • Dirk Pillich - Klinik und Poliklinik für Neurochirurgie, Universitätsmedizin Greifswald, Greifswald, Deutschland
  • Ehab EL Refaee - Klinik und Poliklinik für Neurochirurgie, Universitätsmedizin Greifswald, Greifswald, Deutschland; Cairo University Hospitals, Cairo, Egypt
  • Jan-Uwe Mueller - Klinik und Poliklinik für Neurochirurgie, Universitätsmedizin Greifswald, Greifswald, Deutschland
  • Amr Safwat - Department 26, Cairo University Hospitals, Cairo, Egypt
  • Henry W. S. Schroeder - Klinik und Poliklinik für Neurochirurgie, Universitätsmedizin Greifswald, Greifswald, Deutschland
  • Jörg Baldauf - Klinik für Neurochirurgie, Ernst-Moritz-Arndt Universität, Greifswald, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocP 106

doi: 10.3205/17dgnc669, urn:nbn:de:0183-17dgnc6698

Published: June 9, 2017

© 2017 Pillich et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: Although cervical spondylosis is extremely common, only few cases with associated syrinx have been reported. Depending on review of two large data bases,we report this case series. In addition; we evaluated the posterior decompression as the management option in treatment of this rare condition.

Methods: Data of all cases with cervical spondylosis and canal stenosis that sought medical advice or needed decompressive laminectomy/laminoplasty between the years 2006–2015 were checked in manually. Perioperative data, together with follow up were reviewed.

Results: Out of five cases found in the reviewed data; four cases undergone posterior decompression (laminectomy in two cases and laminoplasty in the other). One case refused surgery. Along mean follow up period of 6.25 months; three cases improved markedly, while in one case no improvement occurred.

Conclusion: Cervical spondylotic meylopathy can rarely cause syringomyelia. Posterior decompression would be the preferable management option with clinical improvement of most of the cases.