Türk Nöroşirürji Dergisi 2022 , Vol 32 , Num 3
Posterior Surgical Techniques in Cervical Spondylotic Myelopathy
Ali ŞAHİN1,Ahmet KÜÇÜK1,Ahmet DAĞTEKİN2,Rahmi Kemal KOÇ1
1Erciyes Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Kayseri, Türkiye
2Mersin Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Mersin, Türkiye
Cervical spondylotic myelopathy is the most common cause of spinal cord dysfunction in adults. Disease progress is predominant at the lower extremity with slowly progressive spastic tetraparesis. Characteristic symptoms include walking difficulties, balance impairment, ataxia, reduction in hand skills, dysesthesia, and writing difficulties. Basically there is no consensus on which method is the most accurate, with anterior, posterior and combined approaches and many different methods being described. Posterior surgical treatment options for cervical spondylotic myelopathy include posterior bilateral decompression with hemilaminectomy, laminoplasty, laminectomy, laminectomy with fusion, and arcocristectomy. All methods have been shown to be efficacious in the treatment of cervical spondylotic myelopathy. Laminoplasty and laminectomy with fusion are the most common posterior techniques for the treatment of multilevel cervical spondylotic myelopathy. The goal of this chapter is to discuss the advantages and disadvantages of posterior surgical techniques for the treatment of cervical spondylotic myelopathy. Anahtar Kelimeler : Arcocristectomy, Laminectomy, Laminoplasty, Cervical spondylotic myelopathy