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Anesthetic considerations in the treatment of cervical myelopathy
K Anthony Kim1, Michael Y Wang
1Department of Neurological Surgery, Keck-University of Southern California School of Medicine, 1200 N. State Street, Suite 5046, Los Angeles, CA 90033, USA.
Background Context:
The safe surgical treatment of patients with severe cervical spondylotic myelopathy involves a team approach incorporating special anesthetic considerations. This patient population is more vulnerable to perioperative complications. Advanced age, prolonged periods of immobility, multiple medical co-morbidities, and the risk of worsening neurologic injury mandate that the anesthesiologist pay special attention in the preoperative, induction, surgical, and recovery phases.
Purpose:
To review the literature regarding the anesthetic management of patients undergoing surgery for cervical spondylotic myelopathy.
Conclusion:
A basic understanding of the pathophysiology of cervical myelopathy as well as the nuances of the surgical treatment plan can help to ensure safe and effective patient management.
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