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Surgical management of cervical myelopathy: indications and techniques for multilevel cervical discectomy.

AbstractBACKGROUND CONTEXT:
Surgery is usually required for treatment of cervical myelopathy to decompress the neural elements, restore lordosis, and stabilize the spine. By addressing these problems, the neurological deterioration may be halted.
PURPOSE:
Multilevel cervical discectomy and fusion offers several advantages over other approaches. The authors describe the technique, discuss the indications, and present the potential complications associated with it.
METHODS:
Decompression is achieved via discectomy and subsequent removal of the osteophytes using a curetting technique. Preparation of end plates in a parallel fashion allows for gapless grafting of allograft bone for enhancement of fusion. A dynamic plate and screw system strengthens the construct.
RESULTS:
A high rate of fusion can be obtained using the technique of multilevel cervical discectomy and fusion with acceptable levels of complications. It is especially useful in cases of spondylosis that have a kyphotic deformity because, in addition to anterior decompression, it allows reconstruction of the spine to help restore a lordotic curvature.
CONCLUSIONS:
Multilevel cervical discectomy and fusion has proven to be very effective in decompressing and stabilizing the spine for treatment of cervical myelopathy.
AuthorsVirany H Hillard, Ronald I Apfelbaum
JournalThe spine journal : official journal of the North American Spine Society (Spine J) 2006 Nov-Dec Vol. 6 Issue 6 Suppl Pg. 242S-251S ISSN: 1529-9430 [Print] United States
PMID17097544 (Publication Type: Journal Article, Review)
Topics
  • Bone Plates
  • Cervical Vertebrae (surgery)
  • Decompression, Surgical
  • Diskectomy (methods)
  • Humans
  • Ilium (transplantation)
  • Spinal Cord Diseases (surgery)
  • Spinal Fusion

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