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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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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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. |
format | Article |
id | doaj-art-08b4ed799fa845bda0134da48a09e286 |
institution | Kabale University |
issn | 2090-1852 2090-1860 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | Neurology Research International |
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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