The effect of surgical immobilization after laminectomy in the treatment of advanced cases of cervical spondylotic myelopathy.

Acta neurochirurgica
L González-Feria

Abstract

Surgical immobilization of the cervical spine after laminectomy is proposed for the treatment of severe cervical spondylotic myelopathy (CSM) occurring with diffuse stenosis of the spinal canal (congenital or acquired). In 20 consecutive patients showing advanced CSM and cord compression at various levels, a laminectomy with posterior fixation was made, in most cases with the aid of a metal plate. In the evaluation of the severity of the myelopathy a slight modification of the Nurick scale was used. With the exception of three patients who developed complications unrelated to the technique, the results were very good as demonstrated by the long lasting improvement in the performance of the patients. The results emphasize the role which mechanical factors may play both, in the genesis of the disease and in the failures of the plain laminectomy.

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Citations

Jan 1, 1982·Acta neurochirurgica·J VaqueroG Bravo
Jan 14, 2010·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·Fabrizio Borges ScardinoRicardo Vieira Botelho
Apr 1, 1997·Journal of Neurology, Neurosurgery, and Psychiatry·D N Levine
Sep 23, 2009·Journal of Neurosurgery. Spine·Paul A AndersonUNKNOWN Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and Congr
Nov 1, 2002·Journal of Neurosurgery·Takeo GotoMitsuhiro Hara
Mar 14, 2007·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Michael Benatar
Jan 1, 2012·ISRN Orthopedics·Kazuya NishizawaYoshitaka Matsusue
Jan 1, 1975·Clinical Neurology and Neurosurgery·L González-Feria, P Peraita-Peraita
Mar 2, 2010·The Journal of Bone and Joint Surgery. British Volume·S ImagamaUNKNOWN Nagoya Spine Group
Apr 25, 2017·Clinical Spine Surgery : a Spine Publication·Nanjundappa S HarshavardhanaHossein Mehdian

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