The never ending debate in cervical spondylotic myelopathy (CSM): Should I approach from the front or back?
Cervical spondylotic myelopathy (CSM) is a spinal cord dysfunction caused by the degenerative process of the cervical spine. This process involves biomechanical and biochemical changes affecting the intervertebral disc, facet joints, uncovertebral joints and ligamentum flavum. Upper-motor neuron...
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| Format: | Conference or Workshop Item |
| Language: | English |
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2018
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| Online Access: | http://irep.iium.edu.my/65441/ http://irep.iium.edu.my/65441/1/MSS%202018%20-%201.pdf |
| Summary: | Cervical spondylotic myelopathy (CSM) is a spinal cord dysfunction
caused by the degenerative process of the cervical spine. This process involves biomechanical and biochemical changes affecting the intervertebral disc, facet joints, uncovertebral joints and ligamentum flavum. Upper-motor neuron findings, such as hyperreflexia below the level of compression and gait disturbances are typical presentation of the problem.
The natural history of CSM is the disease will progress over time and therefore, the main purpose of surgery is to halt the progression of the disease. Factors to consider are the severity of neurologic deterioration, the amount of pain and the magnitude of cord compression seen on imaging studies.
The choice of surgical approach is based on the location of the compression, the number of involved levels, the presence of instability and the overall sagittal plane alignment. |
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