Cervical Myelopathy: An Update on Posterior Decompression.
Clin Spine Surg 2022;
35:E87-E93. [PMID:
34379613 DOI:
10.1097/bsd.0000000000001126]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 11/07/2020] [Indexed: 11/25/2022]
Abstract
STUDY DESIGN
This was a narrative review.
OBJECTIVE
The aim was to discuss current methods and review updated outcome studies regarding posterior decompression in the management of cervical myelopathy.
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.
METHODS
A review of the literature was performed using PubMed to provide updated information regarding posterior cervical decompression in the management of 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.
CONCLUSIONS
Posterior decompression is an important approach for spine surgeons to have in their toolkits when treating cervical myelopathy.
Collapse