Importance of Sagittal Alignment of the Cervical Spine in the Management of Degenerative Cervical Myelopathy.

Journal Article (Journal Article;Review)

Cervical spine sagittal malalignment correlates with worse symptoms and outcomes in patients with degenerative cervical myelopathy (DCM), and should influence surgical management. An anterior versus posterior surgical approach may not significantly change outcomes in patients with preoperative lordosis; however, most studies suggest improved neurologic recovery among kyphotic patients after adequate correction of local sagittal alignment through an anterior or combined anterior-posterior approach. There are no comprehensive guidelines for DCM management in the setting of cervical malalignment; therefore, surgical management should be tailored to individual patients and decisions made at the discretion of treating surgeons with attention to basic principles.

Full Text

Duke Authors

Cited Authors

  • Buell, TJ; Buchholz, AL; Quinn, JC; Shaffrey, CI; Smith, JS

Published Date

  • January 2018

Published In

Volume / Issue

  • 29 / 1

Start / End Page

  • 69 - 82

PubMed ID

  • 29173438

Electronic International Standard Serial Number (EISSN)

  • 1558-1349

Digital Object Identifier (DOI)

  • 10.1016/


  • eng

Conference Location

  • United States