Paul K Kim1, Joseph T Alexander. 1. Department of Neurosurgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA.
Abstract
BACKGROUND CONTEXT: The surgical management of patients with cervical spondylotic myelopathy (CSM) remains challenging. PURPOSE: To review the indications, techniques, and results of circumferential fusion for CSM. CONCLUSION: Circumferential decompression and stabilization with instrumentation is a viable option to treat selected complex cervical spine disorders. It provides immediate stabilization of the spine, decreases anterior graft and instrumentation failure, and can obviate the need for postoperative halo immobilization.
BACKGROUND CONTEXT: The surgical management of patients with cervical spondylotic myelopathy (CSM) remains challenging. PURPOSE: To review the indications, techniques, and results of circumferential fusion for CSM. CONCLUSION: Circumferential decompression and stabilization with instrumentation is a viable option to treat selected complex cervical spine disorders. It provides immediate stabilization of the spine, decreases anterior graft and instrumentation failure, and can obviate the need for postoperative halo immobilization.
Authors: Angel Macagno; Shian Liu; Bryan J Marascalchi; Sun Yang; Anthony J Boniello; John A Bendo; Virginie C Lafage; Peter G Passias Journal: Int J Spine Surg Date: 2015-06-19