Dorsal surgery for myelopathy and myeloradiculopathy.

Published

Journal Article (Review)

OBJECTIVE: To review the dorsal approaches to the cervical spine for myelopathy and myeloradiculopathy. METHODS: The literature was reviewed in reference to dorsal approaches for cervical myelopathy and myeloradiculopathy. RESULTS: There are a variety of surgical approaches in the management of cervical myelopathy and myeloradiculopathy. Deciding which is the best method for any individual requires the surgeon to be aware of the advantages of each technique, as well as the complications and limitations of each approach. CONCLUSION: Laminectomy is the traditional technique used for multilevel cervical stenosis. The complications related to laminectomy, such as late neurological decline, kyphosis, instability, and postoperative radiculopathy, led to laminectomy with fusion. In Japan, dissatisfaction with both laminectomy and laminectomy with fusion led to the development of laminoplasty for dorsal treatment of multilevel cervical stenosis. This article highlights the salient features of preoperative evaluation in this patient population as it pertains to dorsal surgical approaches. Additionally, the techniques of laminectomy, laminectomy with fusion, and laminoplasty are compared, and the results are reviewed.

Full Text

Duke Authors

Cited Authors

  • Wiggins, GC; Shaffrey, CI

Published Date

  • January 1, 2007

Published In

Volume / Issue

  • 60 / 1 Supp1 1

Start / End Page

  • S71 - S81

PubMed ID

  • 17204890

Pubmed Central ID

  • 17204890

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

Digital Object Identifier (DOI)

  • 10.1227/01.NEU.0000215379.90537.0B

Language

  • eng

Conference Location

  • United States