we evaluated the specific pattern of pre- and postoperative neurological signs and symptoms of cervical spondylotic myelopathy (csm) to determine [mdings which had a predictive value for surgical outcome. consecutive patients with csm caused by osteophytic ridge or intervertebral disc herniation who underwent anterior cervical decompression and fusion in loghman hakim hospital from 1999-2003 we...

STUDY DESIGN Prospective study conducted at Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India. PURPOSE To show the efficacy of decompression in the late presentation of cervical spinal cord disorders. OVERVIEW OF LITERATURE Studies by various authors have shown that early spinal decompression results in better neurological outcomes. METHODS From Ja...

OBJECTIVE To investigate the incidence of C5 nerve root palsy after multi-segmental cervical decompression through different approaches. METHODS This study was conducted among 375 patients undergoing multi-segmental cervical decompression in anterior corpectomy and fusion fixation, anterior cervical corpectomy and fusion fixation + posterior decompression and fusion fixation, posterior cervic...

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...

Between January 1996 and December 2005, a total of 1241 patients underwent anterior cervical decompression and fusion for cervical degenerative diseases in the authors' institution. Sixty-three (5.1%) patients underwent revision anterior cervical diskectomy and fusion for adjacent segment disease between October 2003 and August 2010. This series included 35 men and 28 women with a mean±SD age o...

OBJECTIVE To explore and describe women's experiences of daily life after anterior cervical decompression and fusion surgery. DESIGN Qualitative explorative design. SUBJECTS Fourteen women aged 39-62 years (median 52 years) were included 1.5-3 years after anterior cervical decompression and fusion for cervical disc disease. METHODS Individual semi-structured interviews were analysed by qu...

Cervical radiculopathy is typically caused by posterolateral disc herniation or spondylotic foraminal stenosis. Standard surgical treatment for cervical degenerative disc disease has been either direct anterior excision necessitating fusion or indirect posterior decompression. Anterior decompression has now become more widely used. It can be achieved using different techniques. Anterior fusion ...

BACKGROUND In standard anterior cervical diskectomy, complete resection of the uncinate process is not commonly attempted because of the risk of injury to the vertebral artery. This may result in incomplete decompression of the nerve root when there is severe osseous foraminal stenosis. OBJECTIVE To demonstrate the feasibility of total uncinectomy with an ultrasonic bone dissector in patients...

BACKGROUND Complications of nonunited Type II odontoid fractures can range from neck pain to progressive neurological deficit from cervical myelopathy. Rarely, the hypertrophic nonunion requires both anterior transoral decompression and posterior decompression with instrumented fusion. We present a case and review literature around this entity. CASE DESCRIPTION A 68-year-old female presented ...