Anterior surgical treatment of cervical spondylotic myelopathy: review article

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
John C QuinnAlexander P Hughes

Abstract

Cervical spondylotic myelopathy (CSM) is a common indication for cervical spine surgery. Surgical options include anterior, posterior, or combined procedures each with specific advantages and disadvantages. This article will provide a description of the various anterior alternatives and discuss the available evidence used in guiding the surgical decision making process with the aim of answering the following questions: (1) What anatomical/disease related factors favor anterior over posterior surgeries? (2) What are the common anterior procedures and how safe and effective are they? (3) What are the most effective options for multilevel CSM? (4) Is there a role for motion preservation? An additional objective is to discuss technical advances that have improved success rates for anterior procedures. The PubMed database was searched. Keywords were CSM and anterior surgery. Three hundred eighty two articles were found one hundred three were reviewed. Articles describing anterior cervical techniques were selected along with studies describing the various anterior techniques or comparisons of anterior to posterior techniques. Anterior decompression and fusion procedures are more effective than posterior procedures for patients with p...Continue Reading

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Citations

Nov 26, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Silky ChotaiClinton J Devin
Jan 27, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Han Jo KimVirginie Lafage
Nov 26, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Yun-Qi JiangJian Dong
Nov 28, 2017·Neurosurgery Clinics of North America·Thomas J BuellJustin S Smith
Jun 29, 2021·Spine Surgery and Related Research·Motoya KobayashiNaohiro Kawamura

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