Cervical Spondylotic Myelopathy Treated by a Microsurgical Anterior Approach with or Without Interbody Fusion
Surgical treatment of cervical spondylotic myelopathy has been less successful than operative treatment of cervical radiculopathy. These results of surgical treatment have led some authors recommended conservative treatment (5). Although it has been claimed that anterior disectomy with interbody fusion is a rational approach in terms of attacking directly the basic pathological process that causes the myelopathy and significant improvements have been reported after operative intervention (2, 6), it does potentially present the possibility of damaging the cervical cord, particularly when attempting to remove spondylotic osteophytes which frequently prove to be a main cause of the myelopathy (7). To help answer these conflicting questions we have performed a microsurgical anterior osteophytectomy with or without interbody fusion during the past six years and have carefully monitored the clinical status of these patients postoperatively. In this report, we briefly describe our operative procedures and present the neurological follow-up results which tend to emphasize the concept that an anterior osteophytectomy removing all those components compressing against the cervical cord and the roots is the treatment of choice for cervical spondylotic myelopathy.
KeywordsNeuroL Radiculopathy Spondylosis
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