Cervical Spine Lateral Approach to Manage Myelo- Radiculopathy: Lessons Learned from 20 Years Experience
نویسندگان
چکیده
OBJECTIVE: The authors describe the rationale for choosing a lateral approach to the cervical spine for the management of spondylotic myelo-radiculopathy; the surgical technique as well as its advantages, disadvantages, complications and pitfalls are discussed along with a critical review of their experience accumulated during the last two decades. MATERIAL AND METHODS: A lateral approach to the cervical spine may be indicated to treat spondylotic myelo-radiculopathy when there is predominant anterior compression, and either spine straightening or kyphosis but no vertebral instability. RESULTS: By using a lateral approach it is possible to easily reach and visualize the lateral aspect of the cervical spine and the vertebral artery; in this way the lateral part of the affected intervertebral disc(s), uncovertebral joint(s), vertebral body/bodies and posterior longitudinal ligament can be removed as needed to decompress nerve root(s) and/or spinal cord. CONCLUSION: Multilevel cervical oblique vertebrectomy and/or lateral foraminotomy allow wide nervous structures decompression; at the same time, optimal stability and physiological spinal motion are maintained.
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Oblique Corpectomy to Manage Cervical Myeloradiculopathy
Background. The authors describe a lateral approach to the cervical spine for the management of spondylotic myeloradiculopathy. The rationale for this approach and surgical technique are discussed, as well as the advantages, disadvantages, complications, and pitfalls based on the author's experience over the last two decades. Methods. Spondylotic myelo-radiculopathy may be treated via a lateral...
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