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Surgical Approach Decision-Making

  • Mena G. Kerolus
  • Vincent C. TraynelisEmail author
Chapter

Abstract

Surgical approach decision-making in patients with cervical spondylotic myelopathy should be performed in a stepwise, systematic manner. Due to the heterogeneity of clinical presentations and radiographic findings, the correct surgical approach must be addressed on an individual basis. Based on the current systematic literature and a better understanding of cervical biomechanics and alignment parameters, surgical outcomes have improved. There is evidence that provides direction in choosing a particular surgical approach, but in some instances, there is equipoise between anterior and posterior surgical strategies. Case examples are provided to highlight particular surgical decisions.

Keywords

Cervical spondylosis Myelopathy Radiculopathy Cervical lordosis Ossified posterior longitudinal ligament Anterior cervical discectomy and fusion Cervical laminectomy Cervical arthroplasty 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of NeurosurgeryRush University Medical CenterChicagoUSA

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