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Cervical spondylotic myelopathy: A two decade experience
Rutgers New Jersey Med Sch, Dept Neurol Surg, Newark, NJ USA.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics.ORCID iD: 0000-0002-9231-7608
Univ Pittsburgh, Dept Neurol Surg, Med Ctr, Pittsburgh, PA 15260 USA.
2019 (English)In: Journal of Spinal Cord Medicine (JSCM), ISSN 1079-0268, E-ISSN 2045-7723, Vol. 42, no 4, p. 407-415Article, review/survey (Refereed) Published
Abstract [en]

Context: Cervical myelopathy occurs as a result of compression of the cervical spinal cord. Symptomatology includes, but is not limited to, pain, weakness, paresthesias, or gait/balance difficulties. Objective: To present a two-decade experience with the management of cervical myelopathy. Methods: Literature was reviewed to provide current guidelines for management as well as accompanying clinical presentations. Results: Surgical decompression, if necessary, may be achieved from either an anterior, a posterior, or a combined anterior-posterior (AP) approach. The indications for each approach, as well as the surgical techniques, are described. Conclusion: Several etiologies may lead to cord compression and cervical myelopathy. The best vector of approach with regard to anterior versus posterior surgical intervention is still under investigation. Regardless, management via surgical decompression has been demonstrated repeatedly to improve the CSM patients' quality of life.

Place, publisher, year, edition, pages
Taylor & Francis, 2019. Vol. 42, no 4, p. 407-415
Keywords [en]
Cervical myelopathy, Anterior cervical decompression and fusion, Posterior cervical decompression and fusion, Laminoplasty, Sagittal alignment
National Category
Neurology
Identifiers
URN: urn:nbn:se:uu:diva-390351DOI: 10.1080/10790268.2018.1471780ISI: 000474589800018PubMedID: 30048224OAI: oai:DiVA.org:uu-390351DiVA, id: diva2:1341451
Available from: 2019-08-08 Created: 2019-08-08 Last updated: 2019-08-08Bibliographically approved

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