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Oblique corpectomy to manage cervical myeloradiculopathy
Chibbaro Salvatore1, Makiese Orphee, Bresson Damien
1Department of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, France.
Neurology Research International
|October 27, 2011
Summary
A lateral surgical approach effectively manages cervical spondylotic myeloradiculopathy with anterior compression. This technique allows for decompression of the spinal cord and nerve roots while preserving cervical spine stability and motion.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Spondylotic myeloradiculopathy often involves anterior cervical spine compression.
- A lateral surgical approach offers an alternative for managing this condition.
Purpose of the Study:
- To describe the rationale and surgical technique for a lateral approach to the cervical spine.
- To evaluate the advantages, disadvantages, complications, and pitfalls of this approach based on extensive experience.
Main Methods:
- The lateral approach is indicated for anterior compression without instability, in cases of cervical spine straightening or kyphosis.
- This technique allows direct visualization and access to the lateral cervical spine and vertebral artery.
- Surgical decompression involves removal of affected intervertebral discs, uncovertebral joints, vertebral bodies, and the posterior longitudinal ligament.
Main Results:
- The lateral approach provides excellent visualization of the lateral cervical spine and vertebral artery.
- It enables targeted decompression of nerve roots and the spinal cord by removing specific structures.
- Multilevel cervical oblique corpectomy and lateral foraminotomy are key procedures.
Conclusions:
- The lateral cervical spine approach facilitates wide decompression of neural elements.
- This surgical technique maintains optimal cervical spine stability and physiological motion.
- It is a valuable option for managing spondylotic myeloradiculopathy with anterior compression.