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Posterior Decompression for Cervical Spondylotic Myelopathy: Laminectomy, Laminectomy and Fusion or Laminoplasty

  • Fan Jiang
  • Hiroyuki Katoh
  • Kazuya Yokota
  • Michael G. FehlingsEmail author
Chapter
  • 207 Downloads

Abstract

Degenerative cervical myelopathy (DCM) represents a spectrum of chronic atraumatic spinal cord injury that occurs secondary to compression from disc spondylosis, hypertrophy of the ligamentum flavum, or ossification of the posterior longitudinal ligament (OPLL), etc. [1]. While surgical management has been shown to arrest the progressive deterioration and provide neurological and functional improvement, the selection of surgical procedures pertaining to specific cases is subject to much controversy [2–4]. While the subject of anterior versus posterior spinal decompression has been repeatedly debated amongst the experts, this chapter will focus on posterior surgical options and anterior alternatives will not be further elaborated.

Keywords

Cervical spondylotic myelopathy Laminectomy Laminoplasty Fusion 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Fan Jiang
    • 1
  • Hiroyuki Katoh
    • 2
    • 3
  • Kazuya Yokota
    • 2
    • 4
  • Michael G. Fehlings
    • 1
    • 5
    Email author
  1. 1.Division of NeurosurgeryToronto Western Hospital, University Health NetworkTorontoCanada
  2. 2.Division of Genetics and DevelopmentKrembil Research Institute, University Health NetworkTorontoCanada
  3. 3.Department of Orthopaedic Surgery, Surgical ScienceTokai University School of MedicineIseharaJapan
  4. 4.Department of Orthopaedic Surgery, Graduate School of Medical SciencesKyushu UniversityFukokaJapan
  5. 5.Department of SurgeryUniversity of TorontoTorontoCanada

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