scholarly journals Effects of Posterior Surgical Approach on Cervical Alignment in The Treatment of Cervical Spondylotic Myelopathy

2021 ◽  
Vol 1 (37) ◽  
pp. 32-38
Author(s):  
Fatih Keskin ◽  
Mehmet Fatih Erdi ◽  
Densel Arac
Keyword(s):  
Surgical Approach ◽  
Cervical Spondylotic Myelopathy ◽  
Cervical Alignment

scholarly journals Surgery in multisegmental cervical spondylotic myelopathy: Outcome analysis in a series of 65 patients

2013 ◽  
Vol 02 (02) ◽  
pp. 170-174
Author(s):  
K.B. Shankar ◽  
Shashank Kale ◽  
Bhawani Sharma ◽  
Sumit Sinha
Keyword(s):  
Clinical Outcome ◽  
Surgical Approach ◽  
Cervical Spondylotic Myelopathy ◽  
Outcome Analysis ◽  
Cervical Laminoplasty ◽  
Japanese Orthopedic Association ◽  
Excellent Outcome ◽  
The Mean ◽  
Cervical Plating

Abstract Multi-segmental cervical spondylotic myelopathy (MS-CSM) can be dealt with by either anterior or posterior approaches. The aim of study was to analyze the surgical outcomes of MS-CSM treated by either anterior cervical discectomy with fusion and cervical plating (ACDF) or cervical laminoplasty (LP). Sixty-five patients with MS-CSM (two or more levels) underwent either ACDF (n=13) or LP (n=52). ACDF was performed in patients having these criteria: (i) three or less levels involved, (ii) myeloradiculopathy, (iii) pre-dominant anterior compression radiologically, (iv) <50 years age. LP was chosen in: (i) more than three levels involved (ii) posterior compression radiologically, (iii) >50 years age. Patients were evaluated pre- and post-operatively on the basis of modified Japanese Orthopedic Association (mJOA) scoring and Hirabayashi formula. Thirty-five patients were followed up (8 in ACDF group and 27 in LP group). The mean follow-up period was 37.5 months (12.5-54 months). The mean pre-operative mJOA score in the ACDF group and the LP group was 11±2.62 and 10.6±2.04, respectively. The mean final post-operative mJOA score in the ACDF group (n=8) in follow-up was 14.12±2.36 (P<0.05) and in the LP group (n=27) was 14.63±1.64 (P<0.05). 86% had good-to-excellent outcome while 8.5% had poor outcome. Overall, the mean recovery was 64.73±18.9%. On analyzing two groups separately, the mean recovery in the ACDF group was 59.62±24.2, while in the LP group was 66.25±17.3 (P<0.05). The choice of ACDF and LP in MS-CSM depends on pre-operative clinical and radiological parameters. If the surgical approach is chosen correctly, the surgery in MS-CSM can result in significant improvement in the clinical outcome of these patients.

scholarly journals Cervical Spondylotic Myelopathy: Does Surgical Approach Influence Postoperative Sagittal Alignment and Outcomes?

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554529-s-0035-1554529
Author(s):  
Michael Fehlings ◽  
Justin Smith ◽  
Vincent Challier ◽  
Christopher Shaffrey ◽  
Han Jo Kim ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Cervical Spondylotic Myelopathy ◽  
Sagittal Alignment

Cervical Spondylotic Myelopathy: Does Surgical Approach Influence Postoperative Sagittal Alignment and Outcomes?

2014 ◽  
Vol 14 (11) ◽  
pp. S133-S134
Author(s):  
Michael G. Fehlings ◽  
Justin S. Smith ◽  
Vincent Challier ◽  
Christopher I. Shaffrey ◽  
Han Jo Kim ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Cervical Spondylotic Myelopathy ◽  
Sagittal Alignment

scholarly journals Cervical spondylotic myelopathy: surgical decision making

1996 ◽  
Vol 1 (6) ◽  
pp. E3 ◽  
Author(s):  
Sait Naderi ◽  
Edward C. Benzel ◽  
Nevan G. Baldwin
Keyword(s):  
Decision Making ◽  
Surgical Treatment ◽  
Surgical Approach ◽  
Cervical Spondylotic Myelopathy ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Controversial Issue ◽  
Surgical Decision ◽  
Clinical Signs And Symptoms ◽  
Surgical Decision Making

Cervical spondylotic myelopathy can produce a variety of clinical signs and symptoms secondary to neural compromise and biomechanical involvement of the spine. The surgical treatment of cervical spondylotic myelopathy remains a controversial issue after many years of study, evolution, and refinement. Several ventral, dorsal, or combined approaches have been defined. The complications associated with ventral approaches and the concerns about kyphosis following dorsal approaches led to the development of a variety of laminoplasty procedures. This paper reviews the biomechanical basis of cervical spondylotic myelopathy and its effect on choosing the appropriate surgical approach.

Does Surgical Approach Affect Lifestyle or Restoration of Function following Surgical Management of Cervical Spondylotic Myelopathy?

2017 ◽  
Vol 17 (10) ◽  
pp. S136-S137
Author(s):  
Christopher G. Furey ◽  
Arya Ahmady ◽  
Katherine Sadowski ◽  
Nicholas U. Ahn
Keyword(s):  
Surgical Management ◽  
Surgical Approach ◽  
Cervical Spondylotic Myelopathy
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