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Degenerative Disk Disease

  • Vincenzo DenaroEmail author
  • Luca Denaro
  • Alberto Di Martino
  • Umile Giuseppe Longo
  • Nicola Maffulli

When dealing with degenerative disease at the cervical spine, the target of any procedure must be the complete removal of the cause of the damage to the myeloradicu-lar structures. When the pathological process causes an anterior compression, the anterior approach should be preferred. The release of the compressed neural structures via an anterior approach can be performed by several techniques, depending on the skill and experience of the surgeon in using a specific procedure (e.g., Cloward vs. Smith—Robinson vs. multilevel surgery).

In some patients, the stenosis is due to specific posterior abnormalities such as hypertrophy of the liga-mentum flavum, anomalies of the laminae and pedicles, and degenerative changes at the facet joints. Moreover, the spinal canal can be narrowed in a uniform manner on a congenital basis, or be segmentally stenotic for an ossification of the posterior longitudinal ligament (OPLL) disease. All these diseases can benefit from a surgical decompression from the back.

Keywords

Cervical Spine Vertebral Body Bone Graft Nerve Root Vertebral Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Vincenzo Denaro
    • 1
    Email author
  • Luca Denaro
    • 2
  • Alberto Di Martino
    • 3
  • Umile Giuseppe Longo
    • 4
  • Nicola Maffulli
    • 5
  1. 1.Department of NeuroscienceUniversity of PaduaPaduaItaly
  2. 2.Department of Orthopaedic and Trauma SurgeryCampus Bio-Medico UniversityRomeItaly
  3. 3.Department of Trauma and Orthopaedic SurgeryUniversity Campus Biomedico of RomeTrigoriaItaly
  4. 4.Clinical MedicineUniversity Campus Bio-MedicoRomeItaly
  5. 5.Centre for Sports and Exercise MedicineBarts and The London School of Medicine and Dentistry, Mile End HospitalLondonEngland

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