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Seminars in Neurosurgery 2003; 14(1): 021-030
DOI: 10.1055/s-2003-41146
DOI: 10.1055/s-2003-41146
Cervical Spondylotic Myelopathy: The Role of Posterior Decompression, Arthrodesis, and Instrumentation
Weitere Informationen
Publikationsverlauf
Publikationsdatum:
06. August 2003 (online)
ABSTRACT
Cervical spondylotic myelopathy (CSM) is an insidious, progressive disease process that presents with a number of symptoms frequently refractory to conservative nonoperative treatments that often require operative intervention. Nevertheless, controversy exists over the optimal choice of surgical treatment for CSM. For patients with progressive symptoms despite nonoperative therapy, posterior decompression is an appropriate treatment option dependent upon location of pathology, extent of degenerative disease, and cervical alignment. Fusion and instrumentation is a further adjunct to posterior cervical decompression and has gained popularity as a method of maintaining cervical spine stability and alignment following decompression.
KEYWORDS
Cervical spondylotic myelopathy - cervical spine surgery - laminectomy - fusion - laminoplasty
REFERENCES
- 1 Bailey P, Casamajor L. J Nerve Ment Dis. 1911; 38-588
- 2 Stookey B. Compression of the spinal cord due to ventral extradural cervical chordomas. Arch Neurol Psychiatry . 1928; 20 275-291
- 3 Steinhausen T D, Dungan C E, Furst J. et al . Iodinated organic compounds as contrast media for radiographic diagnosis. III. Experimental and clinical myelography and idophenylundercylate (Pantopaque). Radiology . 1944; 43 230-235
- 4 Brain W R, Northfield D, Wilkinson M. The neurological manifestations of cervical spondylosis. Brain . 1952; 75 187-225
- 5 Clarke E, Robinson P K. Cervical myelopathy: a complication of cervical spondylosis. Brain . 1956; 79 483-510
- 6 Lees F, Turner J WA. Natural history and prognosis of cervical spondylosis. Br Med J . 1963; 2 1607-1610
- 7 LaRocca H. Cervical spondylotic myelopathy: natural history. Spine . 1988; 13 854-855
- 8 Dillin W H, Watkins R G. Cervical myelopathy and cervical radiculopathy. Semin Spine Surg . 1989; 1 200-208
- 9 Crandall P H, Batzdorf U. Cervical spondylotic myelopathy. J Neurosurg . 1966; 25 57-66
- 10 DePalma A F, Rothman R. The Intervertebral Disk. Philadelphia, PA: WB Saunders 1970
MissingFormLabel
- 11 Friedenberg Z B, Miller W T. Degenerative disease of the cervical spine. J Bone Joint Surg . 1963; 45A 1171-1178
- 12 Payne E E, Spillane J D. The cervical spine: an anatomico-pathological study of 70 specimens (using special techniques) with particular reference to the problems of cervical spondylosis. Brain . 1957; 80 571-596
- 13 An H S, Gordin R, Renner K. Anatomic considerations for plate-screw fixation of the cervical spine. Spine . 1991; 16 (suppl 10) S548-S551
- 14 Panjabi M M, Duranceau J, Goel V, Oxland T, Takata K. Cervical human vertebrae: quantitative three-dimensional anatomy of the middle and lower regions. Spine . 1991; 16 861-869
- 15 Burrows E H. The sagittal diameter of the spinal canal in cervical spondylosis. Clin Radiol . 1963; 14 1963
- 16 Chrispin A, Lees F. The spinal canal in cervical spondylosis. J Neurol Neurosurg Psychiatry . 1963; 26 166
- 17 Boijsen E. The cervical spinal canal in intraspinal expansive processes. Acta Radiol . 1954; 42 101
- 18 Pal G P, Sherk H H. The vertical stability of the cervical spine. Spine . 1988; 13 447-449
- 19 Parke W W. Correlative anatomy of cervical spondylotic myelopathy. Spine . 1988; 13 831-837
- 20 Mannen T. Vascular lesions in the spinal cord of the aged. Geriatrics . 1966; 21 151-160
- 21 Jellinger K. Spinal cord arterioscleroses and progressive vascular myelopathy. J Neurol Neurosurg Psychiatry . 1967; 30 195-206
- 22 Cailliet R. Neck and Arm Pain. 2nd ed. Philadelphia, PA: FA Davis Co 1981
MissingFormLabel
- 23 Ferguson R JL, Caplan L R. Cervical spondylotic myelopathy. Neurol Clin . 1985; 3 373-382
- 24 Arnold J G. The clinical manifestations of spondylochondrosis (spondylosis) of the cervical spine. Ann Surg . 1955; 141 872-889
- 25 Fujiwara K, Yonenobu K, Ebara S. et al . The prognosis of surgery for cervical compression myelopathy. J Bone Joint Surg Br . 1989; 71 393-398
- 26 Wada E, Yonenobu K, Suzuki S. et al . Can intramedullary signal changes on MRI predict surgical outcomes in cervical spondylotic myelopathy?. Spine . 1999; 24 455-461
- 27 Morio Y, Teshima R, Nagashima H, Nawata K, Yamasaki D, Nanjo Y. Correlation between operative outcomes of cervical myelopathy and MRI of the spinal cord. Spine . 2001; 26 1238-1245
- 28 Koyanagi T, Hirabayashi K, Satomi K. et al . Predictability of operative results of cervical compression myelopathy based on preoperative computed tomographic myelography. Spine . 1993; 18 1958-1963
- 29 Matsuda Y, Miyazaki K, Tada K. et al . Increased MR signal intensity due to cervical myelopathy: analysis of 29 surgical cases. J Neurosurg . 1991; 74 887-892
- 30 Mehalic T F, Pezzuti R T, Applebaum B I. Magnetic resonance imaging and cervical spondylotic myelopathy. Neurosurgery . 1990; 26 217-227
- 31 Robinson R, Smith G. Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull Johns Hopkins Hosp . 1955; 96 223-224
- 32 Bohler J, Gaudernak T. Anterior plate stabilization for fracture-dislocations of the lower cervical spine. J Trauma . 1980; 20 203-205
- 33 Bohler J. Sofort und Frubehandlung traumatischer Querschmnitt lahmungen. Z Orthopad Grengebiete . 1967; 103 512-528
- 34 Cloward R B. The anterior approach for ruptured cervical discs. J Neurosurg . 1958; 15 602
- 35 Benzel E C, Lancon J, Kesterson L, Hadden T. Cervical laminectomy and dentate ligament section for cervical spondylotic myelopathy. J Spinal Disord . 1991; 4 286-295
- 36 Carol M P, Ducker T B. Cervical spondylitic myelopathies: surgical treatment. J Spinal Disord . 1988; 1 59-65
- 37 Crandall P H, Gregorious F K. Long-term follow-up of surgical treatment of cervical spondylotic myelopathy. Spine . 1977; 2 139-146
- 38 Cattell H, Clark G L. Cervical kyphosis and instability following multiple laminectomies in children. J Bone Joint Surg . 1967; 49 713-720
- 39 Katsumi Y, Honma T, Nakamura T. Analysis of cervical instability resulting from laminectomies for removal of spinal cord tumor. Spine . 1989; 14 1171-1176
- 40 Yasuoka S, Peterson H A, MacCarty C S. Incidence of spinal column deformity after multilevel laminectomy in children and adults. J Neurosurg . 1982; 57 441-445
- 41 Yasuoka S, Peterson H A, Laws E R, MacCarty C S. Pathogenesis and prophylaxis of postlaminectomy deformity of the spine after multiple level laminectomy: difference between children and adults. Neurosurgery . 1981; 9 145-152
- 42 Kumar V, Rea G L, Mervis L J, McGregor J M. Cervical spondylotic myelopathy: functional and radiographic long-term outcome after laminectomy and posterior fusion. Neurosurgery . 1999; 44 771-778
- 43 LaRocca H, MacNab I. The laminectomy membrane. J Bone Joint Surg . 1974; 56 545-550
- 44 Herman J, Sonntag V KH. Cervical corpectomy and plate fixation for postlaminectomy kyphosis. J Neurosurg . 1994; 80 963-970
- 45 Goel V, Clark C R, Harris K G, Schulte K R. Kinematics of the cervical spine: effects of multiple total laminectomy and facet wiring. J Ortho Res . 1988; 6 611-619
- 46 Fager C A. Results of adequate posterior decompression in the relief of spondylotic cervical myelopathy. J Neurosurg . 1973; 38 684-692
- 47 Haft H, Ransohoff J, Carter S. Spinal cord tumors in children. Pediatrics . 1959; 23 1152-1159
- 48 Zdeblick T, Zou D, Warden K E, McCabe R, Kunz D, Vanderby R. Cervical stability after foraminotomy. J Bone Joint Surg . 1992; 74 22-27
- 49 Raynor R B, Pugh J, Shapiro I. Cervical facetectomy and its effects on spine strength. J Neurosurg . 1985; 63 278-282
- 50 Herkowitz H N. A comparison of anterior cervical fusion, cervical laminectomy, and cervical laminoplasty for the surgical management of multiple level spondylotic radiculopathy. Spine . 1988; 13 774-780
- 51 Zdeblick T, Abitbol J J, Kunz D N, McCabe R P, Garfin S R. Cervical stability after sequential capsule resection. Spine . 1993; 18 2005-2008
- 52 Albert T, Vacarro A. Postlaminectomy kyphosis. Spine . 1998; 23 2738-2745
- 53 Yonenobu K, Fuji T, Ono K. et al . Choice of surgical treatment for multisegmental cervical spondylotic myelopathy. Spine . 1985; 10 710-716
- 54 Yonenobu K, Okada K, Fuji T, Fujiwara K, Yamashita K, Ono K. Causes of neurologic deterioration following surgical treatment of cervical myelopathy. Spine . 1986; 11 818-823
- 55 Adams C, Logue V. Studies in cervical spondylotic myelopathy. II. The movement and contour of the spine in relation to the neural complications of cervical spondylosis. Brain . 1971; 94 568-586
- 56 Ebersold M, Pare M C, Quast L M. Surgical treatment for cervical spondylotic myelopathy. J Neurosurg . 1995; 82 745-751
- 57 Mikawa Y, Shikata J, Yamamuro T. Spinal deformity and instability after multilevel cervical laminectomy. Spine . 1987; 12 6-11
- 58 Kaptain G, Simmons N E, Replogle R E, Pobereskin L. Incidence and outcome of kyphotic deformity following laminectomy for cervical spondylotic myelopathy. J Neurosurg . 2000; 93 (suppl 2) S199-S204
- 59 Herkowitz H N. Cervical laminoplasty: its role in the treatment of cervical radiculopathy. J Spinal Disord . 1988; 1 179-188
- 60 Heller J G, Carlson G D, Abitbol J J, Garfin S R. Anatomic comparison of the Roy-Camille and Magerl techniques for screw placement in the lower cervical spine. Spine . 1991; 16 (suppl 10) S552-S557
- 61 Heller J G, Silcox H D, Sutterlin C E. Complications of posterior cervical plating. Spine . 1995; 22 2442-2448
- 62 Grob D, Dvorak J, Panjabi M M, Antinnes J A. The role of plate and screw fixation in occipitocervical fusion in rheumatoid arthritis. Spine . 1994; 19 2545-2551
- 63 Fehlings M G, Cooper P R. Posterior plates in the management of cervical instability: long-term results in 44 patients. J Neurosurg . 1994; 81 341-349
- 64 Cooper R P. Posterior stabilization of the cervical spine using Roy-Camille plates: a North American experience. Orthop Trans . 1988; 12 43-44
- 65 Anderson P A, Henley M B, Grady M S, Montesano P X, Winn H R. Posterior cervical arthrodesis with AO reconstruction plates and bone graft. Spine . 1991; 16 (suppl 3) S72-S79
- 66 Ebraheim N A, An H S, Jackson W T, Brown J A. Internal fixation of the unstable cervical spine using posterior Roy-Camille plate: preliminary report. J Orthop Trauma . 1989; 3 23-28
- 67 Oyama M, Hattori S, Moriwaki N, Nitta S. A new method of cervical laminectomy [in Japanese]. Chubu Nippon Seikeisaigaigeka Gakka: Zasshi [Central Jpn J Orthop Traumatol] . 1973; 16 792-794
- 68 Hirabayashi K, Watanabe T, Wakano K. et al . Extensive open-door laminoplasty for cervical stenotic myelopathy. Spine . 1983; 6 693-699
- 69 Matsunaga S, Sakou T, Nakanisi K. Analysis of the cervical spine alignment following laminoplasty and laminectomy. Spinal Cord . 1997; 37 20-24
- 70 Morio Y, Yamamoto T, Teshima R, Nagashima H, Hagino H. Clinicoradiographic study of cervical laminoplasty with posterolateral fusion or bone graft. Spine . 2000; 25 190-196
- 71 Ozunal R M, Delamarter R B. Cervical laminoplasty for cervical myeloradiculopathy. Oper Tech Orthop . 1996; 6 38-45