Open AccessCervical Laminectomy with Lateral Mass Screw Fixation in Cervical Spondylotic Myelopathy
Author(s) -
Manoj Singrakhia,
Nikhil Malewar,
Sonal Manoj Singrakhia,
Shivaji Deshmukh
Publication year - 2017
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/ortho.ijortho_266_16
Subject(s) - medicine , laminectomy , surgery , decompression , orthopedic surgery , myelopathy , laminoplasty , kyphosis , pseudarthrosis , cervical vertebrae , spinal cord , radiography , psychiatry
Anterior cervical decompression and fusion is the standard procedure used for treating patients with cervical myelopathy. However, these procedures are associated with complications such as pseudarthrosis, construct failure, and neurological complications. Posterior cervical laminectomy and instrumentation is an alternative procedure to treat multilevel cervical myelopathy. In this study, we raised questions whether instrumentation is required at all levels and whether stabilizing the spine in neutral or lordotic contour with indirect decompression leads to neurological improvement with radiological evidence of anterior decompression. The results of posterior cervical laminectomy and instrumentation with lateral mass screw in terms of radiological and functional outcome in patients with multilevel cervical myelopathy are prospectively evaluated.