Summary
Clinical and radiological data are reported concerning 44 patients suffering from cervical spondylotic myeloradiculopathy, and operated by the posterior approach; late results are evaluated.
Type of onset, signs and symptoms are specified. Myeloradicular involvement was present in 52% of cases, medullary in 41%, radicular in 7%. Congenital stenosis was present in 68% of patients.
Laminectomy was performed at 2–3 levels in 4 cases, at 4 levels in 10 cases, at 5 levels in 14, and extended to 6 or more levels in 16 patients. Posterior foraminotomy was performed 28 times. At follow-up evaluation (6 months to 8 years) results were “excellent good” in 46% of cases, “fair” in 34%, “unchanged” in 9%, and “worse” in 11%. First symptoms appeared more than 2 years before surgical treatment in 22 patients, between 2 years and 6 months in 15, and less than 6 months before in 7 patients. In this study a statistically significant inverse relation is demonstrated between: 1. results and duration of the disease, 2. results and gravity of motor deficits.
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Altenburg, H., Sitzer, G., Walter, W., Brune, G., Indication for decompressive laminectomy in cervical myelopathy. In: Advances in Neurosurgery, vol. 8, pp. 38–40 (Grote, W.,et al., eds.). Berlin-Heidelberg-New York: Springer. 1980.
Arnold, J. G., The clinical manifestations of spondylosis of cervical spine. Ann. Surg.149 (1955), 872–889.
Cloward, R. B., The anterior approach for removal of ruptured cervical discs. J. Neurosurg.15 (1958), 602–617.
Fager, C. A., Management of cervical disc lesions and spondylosis by posterior approaches. Clin. Neurosurg.24 (1977), 488–507.
Guidetti, B., Fortuna, A., Long-term results of surgical treatment of myelopathy due to cervical spondylosis. J. Neurosurg.30 (1969), 714–721.
Guidetti, B., Fortuna, A., Zamponi, C., Lunardi, P. P., Cervical spondylosis myelopathy. In: Advances in Neurosurgery, vol. 8, pp. 104–111 (Grote, W.,et al., eds.). Berlin-Heidelberg-New York: Springer. 1980.
Hamer, J., Kahl, M., Long-term results after decompressive laminectomy in cases of multisegmental cervical spinal stenosis. In: Advances in Neurosurgery, vol. 8, pp. 95–99 (Grote, W.,et al., eds.). Berlin-Heidelberg-New York: Springer. 1980.
Piepgras, D. G., Posterior decompression for myelopathy due to cervical spondylosis: laminectomy alone versus laminectomy with dentate ligaments section. Clin. Neurosurg.24 (1977), 508–515.
Robinson, R. A., Smith, G. W., Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull. Johns Hopkins Hospital96 (1955), 223–224.
Roosen, K., Grote, W., Late results of operative treatment of cervical myelopathy. In: Advances in Neurosurgery, vol.8, pp. 69–77 (Grote, W.,et al., eds.). Berlin-Heidelberg-New York: Springer. 1980.
Scoville, W. B., Dohrmann, G. D., Corkill, G., Late results of cervical disk surgery. J. Neurosurg.45 (1976), 203–210.
Alsharif, H., Ezzat, Sh., Hay, A., Motty, N. A., Malek, S. A., The results of surgical treatment of spondylotic radiculomyelopathy with complete cervical laminectomy and posterior foramen magnum decompression. Acta neurochir. (Wien)48 (1979), 83–100.
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Casotto, A., Buoncristiani, P. Posterior approach in cervical spondylotic myeloradiculopathy. Acta neurochir 57, 275–285 (1981). https://doi.org/10.1007/BF01664844
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DOI: https://doi.org/10.1007/BF01664844