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Movement study following anterior cervical decompression without fusion
1Department of Neurosurgery, College of Medicine & Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
Nagoya Journal of Medical Science
|March 1, 1992
Summary
Anterior cervical decompression without fusion preserved neck movement in patients with cervical spondylotic myelopathy (CSM). This surgical approach improved mobility in 30% of affected joints, avoiding added instability.
Area of Science:
- Neurosurgery
- Orthopedics
- Spinal Surgery
Background:
- Cervical spondylotic myelopathy (CSM) can cause vertebral joint instability.
- Traditional Cloward's anterior cervical decompression with fusion may increase hypermobility in adjacent segments.
Purpose of the Study:
- To evaluate anterior cervical decompression without fusion for single-level CSM.
- To assess the impact on hypermobility and range of motion in affected cervical joints.
Main Methods:
- A cohort of 23 patients with single-level CSM underwent anterior cervical decompression without fusion.
- Follow-up cineradiographic studies were performed to analyze cervical spine movement.
Main Results:
- The procedure maintained the range of motion in adjacent vertebral segments.
- 30% of patients experienced a return to normal functional mobility in the treated cervical intervertebral joint.
Conclusions:
- Anterior cervical decompression without fusion is a viable option for select single-level CSM patients.
- This technique can preserve motion and potentially restore function in the cervical spine.