TY - JOUR
T1 - Posterior Surgical Techniques for Cervical Spondylotic Myelopathy
T2 - WFNS Spine Committee Recommendations
AU - World Federation of Neurosurgical Societies (WFNS) Spine Committee
AU - Bajamal, Abdul Hafid
AU - Kim, Se Hoon
AU - Arifianto, Mohammad Reza
AU - Faris, Muhammad
AU - Subagio, Eko Agus
AU - Roitberg, Ben
AU - Udo-Inyang, Inyang
AU - Belding, Jonathan
AU - Zileli, Mehmet
AU - Parthiban, Jutty K.B.C.
N1 - Publisher Copyright:
© 2019 by the Korean Spinal Neurosurgery Society.
PY - 2019/9
Y1 - 2019/9
N2 - 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.
AB - 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.
KW - Cervical spondylosis
KW - Complications
KW - Compressive myelopathy
KW - Laminectomy
KW - Laminoplasty
KW - Outcomes assessment
UR - http://www.scopus.com/inward/record.url?scp=85073798819&partnerID=8YFLogxK
U2 - 10.14245/ns.1938274.137
DO - 10.14245/ns.1938274.137
M3 - Article
AN - SCOPUS:85073798819
SN - 2586-6583
VL - 16
SP - 421
EP - 434
JO - Neurospine
JF - Neurospine
IS - 3
ER -