Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

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dc.contributor.authorBajamal, Abdul Hafid
dc.contributor.authorKim, Se-Hoon
dc.contributor.authorArifianto, Mohammad Reza
dc.contributor.authorFaris, Muhammad
dc.contributor.authorSubagio, Eko Agus
dc.contributor.authorRoitberg, Ben
dc.contributor.authorParthiban, Jutty K. B. C.
dc.date.accessioned2020-12-01T12:09:26Z
dc.date.available2020-12-01T12:09:26Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.descriptionFaris, Muhammad/0000-0002-8377-6773en_US
dc.description.abstractObjective: This study was conducted to determine and recommend the most up-to-date information on the indications, complications, and outcomes of posterior surgical treatments for cervical spondylotic myelopathy (CSM) on the basis of a literature review. Methods: A comprehensive literature search was performed, using the MEDLINE (PubMed), the Cochrane Register of Controlled 'Fria's, and Web of Science databases, for peer-reviewed articles published in English during the last 10 years. Results: Posterior techniques, which include laminectomy alone, laminectomy with fusion, and laminoplasty, are often used in patients with involvement of 3 or more levels. Posterior decompression for CSM is effective for improving patients' neurological function. Complications resulting from posterior cervical spine surgery include injury to the spinal cord and nerve roots, complications related to posterior screw fixation or instrumentation, C5 palsy, spring-back closure of lamina, and postlaminectomy kyphosis. Conclusion: It is necessary to consider multiple factors when deciding on the appropriate operation for a particular patient. Surgeons need to tailor preoperative discussions to ensure that patients are aware of these facts. Further research is needed on the cost-to-benefit analysis of various surgical approaches, the comparative efficacy of surgical approaches using various techniques, and long-term outcomes, as current knowledge is deficient in this regard.en_US
dc.identifier.doi10.14245/ns.1938274.137en_US
dc.identifier.endpage434en_US
dc.identifier.issn2586-6583
dc.identifier.issn2586-6591
dc.identifier.issue3en_US
dc.identifier.pmid31607074en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage421en_US
dc.identifier.urihttps://doi.org/10.14245/ns.1938274.137
dc.identifier.urihttps://hdl.handle.net/11454/63447
dc.identifier.volume16en_US
dc.identifier.wosWOS:000488270600006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKorean Spinal Neurosurgery Socen_US
dc.relation.ispartofNeurospineen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCervical spondylosisen_US
dc.subjectCompressive myelopathyen_US
dc.subjectLaminoplastyen_US
dc.subjectLaminectomyen_US
dc.subjectComplicationsen_US
dc.subjectOutcomes assessmenten_US
dc.titlePosterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendationsen_US
dc.typeReview Articleen_US

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