C4 anterior cervical corpectomy with fusion for cervical spondylotic myelopathy

摘要

Cervical spondylotic myelopathy (CSM) is a common cause of spinal cord compression especially in the elderly. When neurological symptoms appear without sustained remission an operative management can be proposed to treat CSM. Goals of surgical treatment are spinal cord decompression, deformity prevention, and pain alleviation 1. Many surgical techniques have been described which can employ an anterior, posterior, or circumferential approach. Designing the most effective surgical plan is dependent on numerous factors, including the location of the compressive pathology, stability of the spinal column, extent of the disease, medical comorbidity, and the surgeon's experience with specific procedures.