Cervical Myelopathy: An Update on Posterior Decompression. Cervical Myelopathy: An Update on Posterior Decompression. [Review]
Citation: Clinical Spine Surgery : A Spine Publication. 35(1):E87-E93, 2022 02 01.PMID: 34379613Department: MedStar Georgetown University Hospital | Orthopaedic Surgery ResidencyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Spinal Cord Diseases | *Spinal Fusion | Cervical Vertebrae/su [Surgery] | Decompression, Surgical/mt [Methods] | Humans | Laminectomy/mt [Methods] | Spinal Cord Diseases/dg [Diagnostic Imaging] | Spinal Cord Diseases/su [Surgery] | Spinal Fusion/mt [Methods] | Treatment OutcomeYear: 2022ISSN:- 2380-0186
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 34379613 | Available | 34379613 |
CONCLUSIONS: Posterior decompression is an important approach for spine surgeons to have in their toolkits when treating cervical myelopathy. Copyright (c) 2021 by Lippincott Williams & Wilkins, Inc.
METHODS: A review of the literature was performed using PubMed to provide updated information regarding posterior cervical decompression in the management of myelopathy.
OBJECTIVE: The aim was to discuss current methods and review updated outcome studies regarding posterior decompression in the management of cervical myelopathy.
RESULTS: There are numerous studies comparing outcome data between cervical laminectomy and fusion with laminoplasty. While each technique has advantages and disadvantages, both provide adequate decompression and good long-term outcomes in patients meeting appropriate criteria.
STUDY DESIGN: This was a narrative review.
SUMMARY OF BACKGROUND DATA: Progressive myelopathy in the cervical segments is an indication for urgent surgical management. Although nonoperative treatment is an option in mild to moderate cases, the majority of patients will experience deterioration in neurological function requiring surgical decompression.
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