Transdural approach to the anterior spinal canal in patients with cervical spondylotic myelopathy and superimposed central soft disc herniation.

Abstract:

:We present seven patients with multilevel cervical spondylotic myelopathy and superimposed midline soft disc herniation who were treated by decompressive laminectomies of the spondylotic segments followed by transdural excision of the anteriorly located disc extrusion. There was no perioperative neurological morbidity or mortality associated with this operation, and no patients have developed postoperative kyphotic deformity with an average follow-up of 50.1 months (range, 24 to 87 mo). Two patients had full neurological recovery, whereas five patients had improvement in their preoperative neurological status. We conclude that a posterior transdural approach may offer an alternative surgical option for select patients with multilevel cervical spondylosis with superimposed midline soft disc herniation in whom multiple segment decompression plus access to the anterior spinal canal is necessary.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Fox MW,Onofrio BM

doi

10.1227/00006123-199404000-00010

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

634-41; discussion 641-2

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

34

pub_type

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