Details

Autor(en) / Beteiligte

• Heary, Robert F.
• MacDowall, Anna
• Agarwal, Nitin

Titel

Cervical spondylotic myelopathy: A two decade experience

Ist Teil von

• The Journal of Spinal Cord Medicine, 2018-07, Vol.42 (4), p.407-415

Ort / Verlag

England: Taylor & Francis

Erscheinungsjahr

2018

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• 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. To present a two-decade experience with the management of cervical myelopathy. Literature was reviewed to provide current guidelines for management as well as accompanying clinical presentations. 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. 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.