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 exper...

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Main Authors: Chibbaro Salvatore, Makiese Orphee, Bresson Damien, Reiss Alisha, Poczos Pavel, George Bernard
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2011/734232
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author Chibbaro Salvatore
Makiese Orphee
Bresson Damien
Reiss Alisha
Poczos Pavel
George Bernard
author_facet Chibbaro Salvatore
Makiese Orphee
Bresson Damien
Reiss Alisha
Poczos Pavel
George Bernard
author_sort Chibbaro Salvatore
collection DOAJ
description 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 approach to the cervical spine when there is predominant anterior compression associated with either spine straightening or kyphosis, but without vertebral instability. Results. By using a lateral approach, the lateral aspect of the cervical spine and the vertebral artery are easily reached and visualized. Furthermore, the lateral part of the affected intervertebral disc(s), uncovertebral joint(s), vertebral body(ies), and posterior longitudinal ligament can be removed as needed to decompress nerve root(s) and/or the spinal cord. Conclusion. Multilevel cervical oblique corpectomy and/or lateral foraminotomy allow wide decompression of nervous structures, while maintaining optimal stability and physiological motion of the cervical spine.
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spelling doaj-art-08b4ed799fa845bda0134da48a09e2862025-02-03T01:10:33ZengWileyNeurology Research International2090-18522090-18602011-01-01201110.1155/2011/734232734232Oblique Corpectomy to Manage Cervical MyeloradiculopathyChibbaro Salvatore0Makiese Orphee1Bresson Damien2Reiss Alisha3Poczos Pavel4George Bernard5Department of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, FranceDepartment of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, FranceDepartment of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, FranceDepartment of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, FranceDepartment of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, FranceDepartment of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, FranceBackground. 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 approach to the cervical spine when there is predominant anterior compression associated with either spine straightening or kyphosis, but without vertebral instability. Results. By using a lateral approach, the lateral aspect of the cervical spine and the vertebral artery are easily reached and visualized. Furthermore, the lateral part of the affected intervertebral disc(s), uncovertebral joint(s), vertebral body(ies), and posterior longitudinal ligament can be removed as needed to decompress nerve root(s) and/or the spinal cord. Conclusion. Multilevel cervical oblique corpectomy and/or lateral foraminotomy allow wide decompression of nervous structures, while maintaining optimal stability and physiological motion of the cervical spine.http://dx.doi.org/10.1155/2011/734232
spellingShingle Chibbaro Salvatore
Makiese Orphee
Bresson Damien
Reiss Alisha
Poczos Pavel
George Bernard
Oblique Corpectomy to Manage Cervical Myeloradiculopathy
Neurology Research International
title Oblique Corpectomy to Manage Cervical Myeloradiculopathy
title_full Oblique Corpectomy to Manage Cervical Myeloradiculopathy
title_fullStr Oblique Corpectomy to Manage Cervical Myeloradiculopathy
title_full_unstemmed Oblique Corpectomy to Manage Cervical Myeloradiculopathy
title_short Oblique Corpectomy to Manage Cervical Myeloradiculopathy
title_sort oblique corpectomy to manage cervical myeloradiculopathy
url http://dx.doi.org/10.1155/2011/734232
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