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Year : 2019  |  Volume : 2  |  Issue : 1  |  Page : 42-51

Posterior surgical options for spondylotic cervical myelopathy

Department of Orthospine, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Shankar Acharya
Department of Spine Surgery, Room No: 1218 A, Sir Ganga Ram Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/isj.isj_57_18

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Cervical spondylotic myelopathy (CSM) is a common presentation in the middle-aged to elderly population. The cause of myelopathy is multifactorial, and cervical spondylosis is the most common cause. This review looks into the treatment options, timing of the surgery, and the advantages and disadvantages of the various posterior approaches for multilevel spondylotic myelopathy. CSM is a disabling disorder that should be addressed in its early phases. There are limited surgical options available, and each procedure has its advantages and disadvantages. Since the neurological and functional outcomes are the same for all well-performed decompressions, the choice of surgical approach depends on various other factors. Posterior approaches are good for multilevel disease as they make the surgery simpler, shorter and with reduced complications in comparison to multilevel anterior surgeries.

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