Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations
Objective This study was conducted to determine and recommend the most up-to-date information on the indications, complications, and outcomes of posterior surgical treatments for cervical spondylotic myelopathy (CSM) on the basis of a literature review. Methods A comprehensive literature search was...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2019-09-01
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| Series: | Neurospine |
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| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-1938274-137.pdf |
| _version_ | 1797330365977722880 |
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| author | Abdul Hafid Bajamal Se-Hoon Kim Mohammad Reza Arifianto Muhammad Faris Eko Agus Subagio Ben Roitberg Inyang Udo-Inyang Jonathan Belding Mehmet Zileli Jutty K.B.C. Parthiban |
| author_facet | Abdul Hafid Bajamal Se-Hoon Kim Mohammad Reza Arifianto Muhammad Faris Eko Agus Subagio Ben Roitberg Inyang Udo-Inyang Jonathan Belding Mehmet Zileli Jutty K.B.C. Parthiban |
| author_sort | Abdul Hafid Bajamal |
| collection | DOAJ |
| description | Objective This study was conducted to determine and recommend the most up-to-date information on the indications, complications, and outcomes of posterior surgical treatments for cervical spondylotic myelopathy (CSM) on the basis of a literature review. Methods A comprehensive literature search was performed, using the MEDLINE (PubMed), the Cochrane Register of Controlled Trials, and Web of Science databases, for peer-reviewed articles published in English during the last 10 years. Results Posterior techniques, which include laminectomy alone, laminectomy with fusion, and laminoplasty, are often used in patients with involvement of 3 or more levels. Posterior decompression for CSM is effective for improving patients’ neurological function. Complications resulting from posterior cervical spine surgery include injury to the spinal cord and nerve roots, complications related to posterior screw fixation or instrumentation, C5 palsy, spring-back closure of lamina, and postlaminectomy kyphosis. Conclusion It is necessary to consider multiple factors when deciding on the appropriate operation for a particular patient. Surgeons need to tailor preoperative discussions to ensure that patients are aware of these facts. Further research is needed on the cost-to-benefit analysis of various surgical approaches, the comparative efficacy of surgical approaches using various techniques, and long-term outcomes, as current knowledge is deficient in this regard. |
| first_indexed | 2024-03-08T07:18:51Z |
| format | Article |
| id | doaj.art-d03f4b6d903c409782a6b88bdd0ae669 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:18:51Z |
| publishDate | 2019-09-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-d03f4b6d903c409782a6b88bdd0ae6692024-02-03T00:14:58ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912019-09-0116342143410.14245/ns.1938274.137926Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee RecommendationsAbdul Hafid Bajamal0Se-Hoon Kim1Mohammad Reza Arifianto2Muhammad Faris3Eko Agus Subagio4Ben Roitberg5Inyang Udo-Inyang6Jonathan Belding7Mehmet Zileli8Jutty K.B.C. Parthiban9 Department of Neurosurgery, Dr. Soetomo Academic General Hospital, Airlangga University, Surabaya, Indonesia Department of Neurosurgery, Korea University Ansan Hospital, Ansan, Korea Department of Neurosurgery, Dr. Soetomo Academic General Hospital, Airlangga University, Surabaya, Indonesia Department of Neurosurgery, Dr. Soetomo Academic General Hospital, Airlangga University, Surabaya, Indonesia Department of Neurosurgery, Dr. Soetomo Academic General Hospital, Airlangga University, Surabaya, Indonesia Department of Neurosurgery, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA Department of Neurosurgery, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA Department of Neurosurgery, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA Department of Neurosurgery, Ege University Faculty of Medicine, Izmir, Turkey Department of Neurosurgery, Kovai Medical Center and Hospital, Coimbatore, IndiaObjective This study was conducted to determine and recommend the most up-to-date information on the indications, complications, and outcomes of posterior surgical treatments for cervical spondylotic myelopathy (CSM) on the basis of a literature review. Methods A comprehensive literature search was performed, using the MEDLINE (PubMed), the Cochrane Register of Controlled Trials, and Web of Science databases, for peer-reviewed articles published in English during the last 10 years. Results Posterior techniques, which include laminectomy alone, laminectomy with fusion, and laminoplasty, are often used in patients with involvement of 3 or more levels. Posterior decompression for CSM is effective for improving patients’ neurological function. Complications resulting from posterior cervical spine surgery include injury to the spinal cord and nerve roots, complications related to posterior screw fixation or instrumentation, C5 palsy, spring-back closure of lamina, and postlaminectomy kyphosis. Conclusion It is necessary to consider multiple factors when deciding on the appropriate operation for a particular patient. Surgeons need to tailor preoperative discussions to ensure that patients are aware of these facts. Further research is needed on the cost-to-benefit analysis of various surgical approaches, the comparative efficacy of surgical approaches using various techniques, and long-term outcomes, as current knowledge is deficient in this regard.http://www.e-neurospine.org/upload/pdf/ns-1938274-137.pdfCervical spondylosisCompressive myelopathyLaminoplastyLaminectomyComplicationsOutcomes assessment |
| spellingShingle | Abdul Hafid Bajamal Se-Hoon Kim Mohammad Reza Arifianto Muhammad Faris Eko Agus Subagio Ben Roitberg Inyang Udo-Inyang Jonathan Belding Mehmet Zileli Jutty K.B.C. Parthiban Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations Neurospine Cervical spondylosis Compressive myelopathy Laminoplasty Laminectomy Complications Outcomes assessment |
| title | Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations |
| title_full | Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations |
| title_fullStr | Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations |
| title_full_unstemmed | Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations |
| title_short | Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations |
| title_sort | posterior surgical techniques for cervical spondylotic myelopathy wfns spine committee recommendations |
| topic | Cervical spondylosis Compressive myelopathy Laminoplasty Laminectomy Complications Outcomes assessment |
| url | http://www.e-neurospine.org/upload/pdf/ns-1938274-137.pdf |
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