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Syringomyelia after decompressive laminectomy for cervical spondylosis
T H Middleton1, O Al-Mefty, L H Harkey
1Neurosurgery Service, Veterans Administration, Jackson, Mississippi.
Surgical Neurology
|December 1, 1987
Summary
A rare case of cervical spondylotic myelopathy showed deterioration post-surgery, revealing syringomyelia. This highlights the importance of considering syringomyelia after decompressive laminectomy for cervical spondylotic myelopathy.
Area of Science:
- Neurosurgery
- Spinal Cord Disorders
- Radiology
Background:
- Cervical spondylotic myelopathy is a common condition causing spinal cord compression.
- Decompressive laminectomy is a standard surgical treatment.
- Post-operative deterioration can occur, necessitating further investigation.
Observation:
- A patient experienced neurological decline one month after cervical decompressive laminectomy.
- Myelography and delayed metrizamide computed tomography scanning revealed syringomyelia.
Findings:
- Syringomyelia developed after decompressive laminectomy for cervical spondylotic myelopathy.
- The exact etiology of post-operative syringomyelia in this context requires further study.
Implications:
- This case underscores the need to consider syringomyelia in patients with delayed neurological deterioration post-laminectomy.
- Understanding the relationship between cervical spondylotic myelopathy treatment and syringomyelia development is crucial for patient management.