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[Posterior Surgical Techniques for Cervical Spine].

Daisuke Umebayashi1, Toshiki Nagai, Shou Nishii

  • 1Department of Neurosurgery, Kyoto Prefectural University of Medicine Graduate School of Medical Science.

No Shinkei Geka. Neurological Surgery
|December 8, 2021
PubMed
Summary

Posterior surgical techniques for cervical spondylotic myelopathy effectively improve neurological function. These methods aim to minimize risks like spinal cord injury and postoperative kyphosis.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery

Background:

  • Cervical spondylotic myelopathy (CSM) presents with multilevel cervical stenosis.
  • Various posterior surgical techniques exist for CSM management.

Purpose of the Study:

  • To review posterior surgical techniques for CSM.
  • To highlight their effectiveness and complication profiles.

Main Methods:

  • Laminoplasty and laminectomy with or without fusion are key posterior decompression techniques.
  • These methods are employed for patients with multilevel cervical stenosis.

Main Results:

  • Posterior decompression is effective in improving neurological function for appropriately indicated CSM patients.
  • Techniques aim to reduce complications like spinal cord injury, C5 palsy, and kyphosis.

Conclusions:

  • Posterior surgical decompression is a viable and effective treatment for cervical spondylotic myelopathy.
  • Careful patient selection and surgical technique are crucial for optimal outcomes.