K Anthony Kim1, Michael Y Wang. 1. Department of Neurological Surgery, Keck-University of Southern California School of Medicine, 1200 N. State Street, Suite 5046, Los Angeles, CA 90033, USA.
Abstract
BACKGROUND CONTEXT: The safe surgical treatment of patients with severe cervical spondylotic myelopathy involves a team approach incorporating special anesthetic considerations. This patient population is more vulnerable to perioperative complications. Advanced age, prolonged periods of immobility, multiple medical co-morbidities, and the risk of worsening neurologic injury mandate that the anesthesiologist pay special attention in the preoperative, induction, surgical, and recovery phases. PURPOSE: To review the literature regarding the anesthetic management of patients undergoing surgery for cervical spondylotic myelopathy. CONCLUSION: A basic understanding of the pathophysiology of cervical myelopathy as well as the nuances of the surgical treatment plan can help to ensure safe and effective patient management.
BACKGROUND CONTEXT: The safe surgical treatment of patients with severe cervical spondylotic myelopathy involves a team approach incorporating special anesthetic considerations. This patient population is more vulnerable to perioperative complications. Advanced age, prolonged periods of immobility, multiple medical co-morbidities, and the risk of worsening neurologic injury mandate that the anesthesiologist pay special attention in the preoperative, induction, surgical, and recovery phases. PURPOSE: To review the literature regarding the anesthetic management of patients undergoing surgery for cervical spondylotic myelopathy. CONCLUSION: A basic understanding of the pathophysiology of cervical myelopathy as well as the nuances of the surgical treatment plan can help to ensure safe and effective patient management.