Surgery for cervical stenosis: anterior cervical decompression, corpectomy, and fusion.

摘要

Cervical stenosis is usually more common in elderly population and is mainly due to degenerative changes of the cervical discs, uncovertebral joints, facets and ligaments. This condition may be associated or not with a congenitally narrowed canal [1].Surgical options, for symptomatic cervical stenosis, include anterior (ACDF or corpectomy and fusion) or posterior (laminectomy or laminoplasty) decompression [2].Corpectomy should be preferred in case of anterior compression (disc, osteophytes, posterior ligaments calcifications) especially in case of cervical kyphosis. Adequate decompression and restoration of a good cervical balance are the goals of the surgery.