Multiple cervical arcocristectomies for the treatment of cervical spondylotic myelopathy: surgical technique and results.
OBJECTIVE
In the surgical treatment of cervical spondylotic myelopathy, a posterior approach is recommended for patients with multilevel cervical stenosis. In this article the authors describe the multiple cervical arcocristectomy technique and results.


METHODS
This surgical technique involves the removal of the upper half of the cervical laminae and was performed in 17 patients between 1997 and 2005 with a mean follow-up of 55 months.


RESULTS
Sixteen patients showed immediate improvement in myelopathic symptoms, and all of them had long-term improvement with no complications and a relatively short surgical time.


CONCLUSIONS
Multiple cervical arcocristectomy is a surgical technique that offers physiological and biomechanical advantages in the treatment of the spondylotic myelopathy.
Amaral
Sergio H
SH
Department of Neurosurgery, Hospital Heliopolis, Sao Paulo, Brazil. drshamaral@uol.com.br
Silva
Marcelo N
MN
Giraldi
Mauricio
M
Viterbo
Marcelo B S
MB
Pereira
Clemente A B
CA
D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013117:Spinal Cord Compression / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D013128:Spinal Osteophytosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome