Surgical management of cervical myelopathy

indications and techniques for laminectomy and fusion

Ricardo J Komotar, J. Mocco, Michael G. Kaiser

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Background: Cervical spondylotic myelopathy (CSM) is a commonly encountered surgical disease that may be approached through a variety of operative techniques. Operative goals in the treatment of CSM include effective neural element decompression and maintaining spinal stability to avoid delayed deformity progression and neurologic compromise. Determining the most appropriate operative approach requires careful consideration of the patient's clinical presentation and radiographic imaging. Purpose: To review the indications and techniques for multilevel laminectomy and fusion in the treatment of CSM. Conclusions: When indications permit, a multilevel laminectomy is an effective and safe method of neural element decompression. Recognizing the potential for spinal instability is essential to prevent neurologic compromise and intractable axial neck pain caused by deformity progression. A variety of techniques have been described to supplement the posterior tension band after laminectomy; however, lateral mass fixation has evolved into the preferred stabilization technique. Although clinical success is well documented, a successful outcome is dependent on a comprehensive, individualized evaluation of each patient presenting with CSM.

Original languageEnglish
JournalSpine Journal
Volume6
Issue number6 SUPPL.
DOIs
StatePublished - Nov 1 2006
Externally publishedYes

Fingerprint

Laminectomy
Spinal Cord Diseases
Decompression
Nervous System
Neck Pain
Therapeutics

Keywords

  • Cervical
  • Fusion
  • Indications
  • Laminectomy
  • Myelopathy
  • Techniques

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Surgical management of cervical myelopathy : indications and techniques for laminectomy and fusion. / Komotar, Ricardo J; Mocco, J.; Kaiser, Michael G.

In: Spine Journal, Vol. 6, No. 6 SUPPL., 01.11.2006.

Research output: Contribution to journalArticle

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