Cervical Spondylotic Myelopathy: A Review
نویسندگان
چکیده
Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction in older individuals. It results when spondylotic changes lead to cervical cord injury with resulting clinical deficits. Diagnosis is made based on clinical and radiographic features. A patient must have both symptoms and signs consistent with cervical cord injury as well as radiographic evidence of spondylotic cord damaged. MRI is currently the imaging modality of choice for diagnosing CSM. Patients with CSM can be managed conservatively without surgery, however most are currently managed operatively despite the fact that there have yet to be conclusive studies demonstrating the superiority of surgery. Surgery for CSM can be undertaken with either an anterior or posterior approach depending on the clinical situation.
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