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Table 4

Surgery versus conservative care in myelopathy patients

AuthorOutcomeFollow-upSurgeryConservative careMD or RR
Mean (SD)NMean (SD)N
Function
 Short-term
Kadanka [18]Modified JOA6 months13.4 (1.7)3314.5 (2)35MD: 1.1 (0.19; 2.0)
 Long-term
Heffez [19] (CCT)SF-36 Physical functioning12 months36.1 (12.7)4028.5 (9.6)31MD: 7.6 (2.1; 13.1)
Kadanka [18]Modified JOA24 months13.7 (2)3314.5 (1.8)35MD: 0.8 (−0.1; 1.7)
Kadanka [21]Modified JOA10 years14.0 (2.3)2215.0 (2.8)25MD: 1 (−0.5; 2.5)
Overall outcome
 Short-term
  Kadanka [18]Self-perceived recovery6 months20 (61 %)a337 (20 %)3541 %; RR = 3.03 (1.5; 6.2)
 Long-term
  Kadanka [18]Self-perceived recovery24 months8 (24 %)334 (11 %)3513 %; RR = 2.1 (0.7; 6.4)
  Kadanka [21]Self-perceived recovery10 years12 (36 %)3311 (31 %)355 %; RR = 1.2 (0.6; 2.3)
Matsunaga [20] (CCT)One-level improvement (Ranawat Classification)?9 (47 %)0 (0 %)−9 %

Continuous data are presented as a mean (SD), while dichotomous data are presented as a percentage, except where otherwise noted. All pain scales were standardized to a 100-point scale

MD mean difference, RR relative risk, ? no information

Bold values indicate the significant findings

aA significant mean subjective deterioration was found in the surgical group between 6 and 36 months

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