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 TOPIC OF THE ISSUE: REVIEW ARTICLE
Year : 2012  |  Volume : 60  |  Issue : 2  |  Page : 201--209

Surgical management of cervical spondylotic myelopathy


Department of Neurosurgery, Madurai Medical College; Devadoss Multispeciality Hospitals, Madurai, India

Correspondence Address:
N Muthukumar
Muruganagam, 138, Anna Nagar, Madurai - 625 020
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.96402

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Cervical spondylotic myelopathy (CSM) is emerging as the most common cause of spinal cord dysfunction in the elderly worldwide. In the past decade, our understanding of the biomechanics of the spine has improved along with advances in spinal instrumentation and this has led to significant changes in the surgical management of CSM. This review will discuss the indications, advantages and limitations of different operative approaches as well as the complications and prognosis of surgery for cervical spondylotic myelopathy. Choice of surgical approach for CSM should be based on the clinical and radiological characteristics of the individual patient and not on the preferences of the surgeon.






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