The Treatment of Cervical Spondylitic Myelopathy by Mobilisation of the Cervical Cord into an Enlarged Spinal Canal

Rogers, Lambert

doi:10.3171/jns.1961.18.4.0490

Cited by 33 publications

(12 citation statements)

References 7 publications

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“…Laminectomy for the treatment of CSM has been accepted as a standard procedure for years. [63,64,66,68,69] It is most commonly indicated in patients who have a compressive myelopathy with an associated effective cervical lordosis. [8,10] Cases with a straightened spine may be treated by either a ventral or dorsal decompressive operation.…”

Section: Dorsal Approachesmentioning

confidence: 99%

Cervical spondylotic myelopathy: surgical decision making

Naderi¹,

Benzel²,

Baldwin³

1996

FOC

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Cervical spondylotic myelopathy can produce a variety of clinical signs and symptoms secondary to neural compromise and biomechanical involvement of the spine. The surgical treatment of cervical spondylotic myelopathy remains a controversial issue after many years of study, evolution, and refinement. Several ventral, dorsal, or combined approaches have been defined. The complications associated with ventral approaches and the concerns about kyphosis following dorsal approaches led to the development of a variety of laminoplasty procedures. This paper reviews the biomechanical basis of cervical spondylotic myelopathy and its effect on choosing the appropriate surgical approach.

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Section: Dorsal Approachesmentioning

confidence: 99%

Cervical spondylotic myelopathy: surgical decision making

Naderi¹,

Benzel²,

Baldwin³

1996

FOC

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“…Between the 1950s and 1960s, Rogers [67] opened the dura and sectioned the dentate ligaments after laminectomy (Fig. 2).…”

Section: Cervical Disc Herniation and Degenerative Spinal Stenosismentioning

confidence: 99%

Cervical Spine Surgery: An Historical Perspective

Denaro

Martino

2011

Clinical Orthopaedics &Amp; Related Research

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“…19 It is generally accepted that adults with normal preoperative spine alignment and no instability who undergo cervical laminectomy rarely experience kyphotic deformity. 5,15,35,40 One contradictory study by Kaptain, et al, 16 noted a much higher incidence of postlaminectomy cervical spine deformity. In this study, the authors evaluated 46 patients who underwent laminectomy to treat cervical spondylotic myelopathy.…”

Section: General Incidencementioning

confidence: 99%

Cervical spine deformity associated with resection of spinal cord tumors

Fassett

Clark

Brockmeyer

et al. 2006

FOC

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✓ Postoperative sagittal-plane cervical spine deformities are a concern when laminectomy is performed for tumor resection in the spinal cord. These deformities appear to occur more commonly after resection of intramedullary spinal cord lesions, compared with laminectomy for stenosis caused by degenerative spinal conditions. Postlaminectomy deformities are most common in pediatric patients with an immature skeletal system, but are also more common in young adults (< 25 years of age) in comparison with older adults. The extent of laminectomy and facetectomy, number of laminae removed, location of laminectomy, preoperative loss of lordosis, and postoperative radiation therapy in the spine have all been reported to influence the risk of postlaminectomy spinal deformities. When these occur, patients should be monitored closely with serial imaging studies, because a significant percentage will have progressive deformities. These can range from focal kyphosis to more complicated swan-neck deformities. General indications for surgical intervention include progressive deformity, axial pain in the area, and neurological symptoms attributable to the deformity. Surgical options include anterior, posterior, and combined anterior–posterior procedures. The authors have reviewed the literature on postlaminectomy kyphosis as it relates to resection of cervical spinal cord tumors, and they summarize some general factors to consider when treating these patients.

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The Treatment of Cervical Spondylitic Myelopathy by Mobilisation of the Cervical Cord into an Enlarged Spinal Canal

Cited by 33 publications

References 7 publications

Cervical spondylotic myelopathy: surgical decision making

Cervical spondylotic myelopathy: surgical decision making

Cervical Spine Surgery: An Historical Perspective

Cervical spine deformity associated with resection of spinal cord tumors

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