Indications for circumferential surgery for cervical spondylotic myelopathy.
BACKGROUND
The surgical management of patients with cervical spondylotic myelopathy (CSM) remains challenging.


OBJECTIVE
To review the indications, techniques, and results of circumferential fusion for CSM.


CONCLUSIONS
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.
Kim
Paul K
PK
Department of Neurosurgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA.
Alexander
Joseph T
JT
D002574:Cervical Vertebrae / Q000601:surgery*; D019299:Decompression, Surgical; D006801:Humans; D009984:Orthopedic Fixation Devices; D013118:Spinal Cord Diseases / Q000209:etiology* / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D013128:Spinal Osteophytosis / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome