Movement studies of the neck have shown that certain patients with cervical spondylotic myelopathy (CSM) demonstrate instability in the vertebral joint immediately above the posterior osteophytic bar. While Cloward's anterior cervical decompression with fusion eliminates the cord or root compressive element, it adds to the hypermobility of the adjoining vertebral segment. In an attempt to reduc...

Cervical spondylotic myelopathy (CSM) refers to impaired function of the spinal cord caused by degenerative changes of the cervical spine resulting in spinal cord compression. It is the most common disorder in the United States causing dysfunction of the spinal cord. A literature review of the natural history of mild cervical myelopathy is undertaken. Clinical presentation and current concepts ...

Objective: Cervical spondylotic myelopathy is a progressive debilitating disease that favorably responds to surgical decompression. The objective of this study was to review the use of expandable titanium cages for reconstruction of the spine after cervical corpectomy. Methods: We searched PubMed and Google Scholar databases up to March 2013 to identify English articles reporting the use of exp...

BACKGROUND Anterior cervical discectomy and fusion, total disk replacement and open door laminoplasty have been widely used to treat patients with cervical spondylotic myelopathy and/or radiculopathy. In our clinical practice, many patients with cervical spondylosis also complain of headache, and wish to know if the surgical treatment for cervical spondylosis can also alleviate this symptom. Co...

This study evaluated the safety of 3-level anterior cervical diskectomy and fusion (ACDF) with ultra-low-dose recombinant bone morphogenetic protein-2 (rhBMP-2). Thirty-seven consecutive patients with cervical spondylotic myelopathy who were treated with 3-level ACDF and rhBMP-2 were evaluated. Complications such as airway or cervical swelling or hematoma were not observed. The rate of dysphagi...

Cervical spondylosis is a condition in which there is progressive degeneration of the intervertebral joints of the cervical spine. It is widespread throughout the adult population such that is has been estimated that on the basis of plain X-rays 50% over the age of 50 years and 75 % over the age of 65 suffer from the condition. It is indeed fortunate that only a small proportion suffer from the...

Background. Postoperative C5 motor palsy is known as a common complication not only after cervical laminectomy but also after anterior discectomy. There is no consensus to verify any of the proposed mechanisms of C5 palsy following posterior cervical decompression. The authors of this article have found that C5 palsy is more common among patients with smaller C5 root exit foramen area. The purp...

Cervical spondylotic myelopathy is a progressive degenerative condition of the cervical spine that results in neurological deficit in either an acute or a delayed fashion. It is the most common disease process that affects the spinal cord in those aged 55 years or above. In this article we discuss the pathophysiology of the condition and highlight symptoms, timing of presentation and clinical i...

BACKGROUND Not all patients with spinal cord compression due to cervical spondylotic myelopathy (CSM) have clinical symptoms and signs. The aim of this study was to investigate and compare the imaging findings in asymptomatic and symptomatic patients with CSM with mild to moderate cervical spinal cord compression. MATERIAL AND METHODS A retrospective clinical study included 68 patients. Group A...