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
Neurosurgeryjournal_title
Neurosurgeryauthors
Fox MW,Onofrio BMdoi
10.1227/00006123-199404000-00010subject
Has Abstractpub_date
1994-04-01 00:00:00pages
634-41; discussion 641-2issue
4eissn
0148-396Xissn
1524-4040journal_volume
34pub_type
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