REVIEW PAPER
Management of patients with cervical myelopathy
1
Department of Neurosurgery and Spine Surgery, Regional Hospital, Kielce, Poland
Submission date: 2018-10-25
Final revision date: 2019-09-05
Acceptance date: 2019-10-03
Publication date: 2019-12-30
Medical Studies 2019;35(4):319-323
KEYWORDS
TOPICS
ABSTRACT
Myelopathy is a neurological deficit related to the spinal cord, and cervical spondylosis is its leading cause. The majority of middle-aged people have radiological evidence of significant cervical spine degeneration. The most characteristic symptoms are: neck pain with reduced range of motion, pain and paraesthesias in shoulders, gait disturbance, weakness or instability of lower extremities, loss of manual dexterity, and glove-distribution sensory loss in hands. The pathophysiology of cervical spondylotic myelopathy involves static, dynamic, and ischaemic factors. There are two surgical approaches: anterior and posterior. The posterior approach includes laminectomy and laminoplasty. The anterior approach includes anterior discectomy and fusion, and anterior corpectomy and fusion. This paper reviews the pathophysiology and clinical manifestation of cervical spondylotic myelopathy, and surgical approaches to treat patients with this disease.
REFERENCES (20)
1.
Sawaya R, Nachef Z. Differential diagnosis of myelopathies. Int J Med 2014; 2. 10.14419/ijm.v2i1.1784.
3.
Vilaça C, Orsini M, Leite M, de Freitas M, Davidovich E, Fiorelli R, Fiorelli S, Fiorelli C, Pessoa B. Cervical spondylotic myelopathy: what the neurologist should know. Neurol Int 2016; 8: 6330.
4.
Bakhsheshian J, Mehta V, Liu J. Current diagnosis and management of cervical spondylotic myelopathy. Global Spine J 2017; 7: 572-586.
5.
Mardhika P, Marta K, Maliawan S, Mahadewa T. Cervical spondylotic myelopathy: pathophysiology and surgical approaches. Recent Adv Biol Med 2017; 3: 83-91.
6.
Gibson J, Nouri A, Krueger B, Lakomkin N, Nasser R, Gimbel D, Cheng J. Degenerative cervical myelopathy. Yale J Biol Med 2018; 91: 43-48.
7.
Wilson J, Tetreault L, Kim J, Shamji M, Harrop J, Mroz T, Cho S, Fehlings M. State of the art in degenerative cervical myelopathy: an update on current clinical evidence. Neurosurgery 2017; 80: 33-45.
8.
Joaquim A, Ghizoni E, Tedeschi H, Hsu W, Patel A. Management of degenerative cervical myelopathy – an update. Rev Assoc Méd Bras 2016; 62: 886-894.
9.
Tetreault L, Rhee J, Prather H, Kwon B, Wilson J, Martin A, Andersson I, Dembek A, Pagarigan K, Dettori J, Fehlings M. Change in function, pain, and quality of life following structured nonoperative treatment in patients with degenerative cervical myelopathy: a systematic review. Global Spine J 2017; 7: 42-52.
10.
Rhee J, Tetreault L, Chapman J, Wilson J, Smith J, Martin A, Dettori J, Fehlings M. Nonoperative versus operative management for the treatment degenerative cervical myelopathy: an updated systematic review. Global Spine J 2017; 7: 35-41.
11.
Rhee J, Basra S. Posterior surgery for cervical myelopathy: laminectomy, laminectomy with fusion, and laminoplasty. Asian Spine J 2008; 2: 114-126.
12.
Abdel-Salam M, Elgawhary S, El Naggar A. Cervical laminectomy and lateral mass fusion for the treatment of cervical spondylotic myelopathy: influence of sagittal alignment on clinical outcomes. 2018 doi: 10.13140/RG.2.2.18264.14082.
13.
Ren D, Li F, Zhang Z, Kai G, Shan J, Zhao G, Sun T. Comparison of functional and radiological outcomes between two posterior approaches in the treatment of multilevel cervical spondylotic myelopathy. Chin Med J 2015; 128: 2054-2058.
14.
Visocchi M, Della Pepa G, Roselli R, Rocca G, Conforti G, Spallone A, Barbagallo G. Laminoplasty and laminectomy in cervical stenotic myelopathy: allies not enemies. J Neurosurg Sci 2014; 58: 101-105.
16.
Otani K, Iwabuchi M, Sato K, Konno S, Kikuchi S. Postoperative neck symptoms of posterior approach for cervical compressive myelopathy: expansive open-door laminoplasty vs. segmental partial laminectomy. Fukushima J Med Sci 2018; 64: 54-59.
17.
Soo Kang M, Kim K, Bae J, Jang I. Treatment of two level artificial disc replacement for cervical spondylotic myelopathy. J Minim Invasive Spine Surg Tech 2018; 3: 34-38.
18.
Zhao C, Chen Q, Zhang Y, Huang A, Ding W, Zhang W. Anterior cervical discectomy and fusion versus hybrid surgery in multilevel cervical spondylotic myelopathy: a meta-analysis. Medicine 2018; 97: e11973.
19.
Chibbaro S, Mirone G, Makiese O, George B. Multilevel oblique corpectomy without fusion in managing cervical myelopathy: long-term outcome and stability evaluation in 268 patients. J Neurosurg Spine 2009; 10: 458-465.
20.
Shaw K, Griffith M, Mottern E, Gloystein D, Devine J. Preventing construct subsidence following cervical corpectomy: the bump-stop technique. Asian Spine J 2018; 12: 156-161.
| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
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