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Logo of aopAdvances in Orthopedics
Adv Orthop. 2012; 2012: 783762.
Published online 2012 January 24. doi:  10.1155/2012/783762
PMCID: PMC3270546

Cervical Spondylotic Myelopathy: Factors in Choosing the Surgical Approach


Cervical spondylotic myelopathy is a progressive disease and a common cause of acquired disability in the elderly. A variety of surgical interventions are available to halt or improve progression of the disease. Surgical options include anterior or posterior approaches with and without fusion. These include anterior cervical discectomy and fusion, anterior cervical corpectomy and fusion, cervical disc replacement, laminoplasty, laminectomy with and without fusion, and combined approaches. Recent investigation into the ideal approach has not found a clearly superior choice, but individual patient characteristics can guide treatment.

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