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Indications for circumferential surgery for cervical spondylotic myelopathy
Paul K Kim1, Joseph T Alexander
1Department of Neurosurgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA.
The Spine Journal : Official Journal of the North American Spine Society
|November 14, 2006
Abstract
Background Context:
The surgical management of patients with cervical spondylotic myelopathy (CSM) remains challenging.
Purpose:
To review the indications, techniques, and results of circumferential fusion for CSM.
Conclusion:
Circumferential decompression and stabilization with instrumentation is a viable option to treat selected complex cervical spine disorders. It provides immediate stabilization of the spine, decreases anterior graft and instrumentation failure, and can obviate the need for postoperative halo immobilization.