Multilevel corpectomy for cervical spondylotic myelopathy

Research output: Contribution to journalArticle

Abstract

Multilevel corpectomy for decompressing the spinal cord to treat cervical spondylotic myelopathy has become commonplace. Correlation of preoperative radiographic findings with intraoperative anatomy will ensure adequate decompression and lessen complications. Reconstruction with cadaveric fibula or bone-filled titanium cages combined with a locking cervical plate has reduced donor site morbidity and long-term construct failure to near zero for two-level corpectomies. Three or more levels may best be reconstructed by both anterior and posterior instrumentation. One of the more common complications of this operation is hoarseness and that may be lessened with endotracheal tube deflation during retraction. Most of the complications of surgery are minor (including dysphagia), improve with time, and are well tolerated by the patient. The preoperative myelopathic gait improves in 50% and upper extremity weakness/spasticity improves in 70% of patients.

Original languageEnglish
Pages (from-to)5-13
Number of pages9
JournalSeminars in Neurosurgery
Volume14
Issue number1
StatePublished - 2003

Fingerprint

Spinal Cord Diseases
Minor Surgical Procedures
Hoarseness
Fibula
Deglutition Disorders
Decompression
Titanium
Gait
Upper Extremity
Spinal Cord
Anatomy
Tissue Donors
Morbidity
Bone and Bones

Keywords

  • Arthrodesis
  • Cervical myelopathy
  • Cervical spondylosis
  • Corpectomy
  • Instrumentation

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Multilevel corpectomy for cervical spondylotic myelopathy. / Shapiro, Scott.

In: Seminars in Neurosurgery, Vol. 14, No. 1, 2003, p. 5-13.

Research output: Contribution to journalArticle

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