by Raj D. Rao, Bradford L. Currier, Todd J. Albert, Christopher M

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Presentation transcript:

Degenerative Cervical Spondylosis: Clinical Syndromes, Pathogenesis, and Management by Raj D. Rao, Bradford L. Currier, Todd J. Albert, Christopher M. Bono, Satyajit V. Marawar, Kornelis A. Poelstra, and Jason C. Eck J Bone Joint Surg Am Volume 89(6):1360-1378 June 1, 2007 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Neurologic evaluation of a patient with cervical radiculopathy and myelopathy. Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Sagittal T2-weighted magnetic resonance image of a patient with cervical myelopathy showing a high-signal-intensity lesion with a faint and ill-defined border at the site of spinal cord compression at the level of the C5-C6 disc space. Sagittal T2-weighted magnetic resonance image of a patient with cervical myelopathy showing a high-signal-intensity lesion with a faint and ill-defined border at the site of spinal cord compression at the level of the C5-C6 disc space. Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Sagittal T2-weighted magnetic resonance image of the cervical spine showing compression over several levels and multisegmental areas of high signal intensity. Sagittal T2-weighted magnetic resonance image of the cervical spine showing compression over several levels and multisegmental areas of high signal intensity. Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Cross-sectional anatomy through the midcervical spine, illustrating the fascial planes employed in the anterior cervical approach. Cross-sectional anatomy through the midcervical spine, illustrating the fascial planes employed in the anterior cervical approach. The strap muscles, the trachea, and the esophagus are retracted medially while the carotid sheath is retracted laterally. (Reprinted, with permission, from: Rao RD, Bagario V. Anterior approaches to the cervical and cervicothoracic spine. Orthopaedic Knowledge Online. American Academy of Orthopaedic Surgeons. 2005.)‏ Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior (A) and lateral (B) radiographs of the cervical spine of a patient with cervical spondylotic myelopathy managed with C5 corpectomy, insertion of a titanium-mesh cage packed with local autogenous bone in the trough, and application of an ante... Anteroposterior (A) and lateral (B) radiographs of the cervical spine of a patient with cervical spondylotic myelopathy managed with C5 corpectomy, insertion of a titanium-mesh cage packed with local autogenous bone in the trough, and application of an anterior cervical plate from C4 to C6. Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Common anterior operative interventions used for cervical spondylosis. Common anterior operative interventions used for cervical spondylosis. A: Anterior cervical discectomy and insertion of a spacer for fusion. B: Anterior cervical corpectomy and insertion of a strut bone graft. C: Anterior cervical discectomy followed by insertion of a bone spacer for fusion and application of an anterior plate. D: Anterior cervical corpectomy, insertion of a strut graft, and application of an anterior plate. (Reprinted from: Rao RD, Gourab K, David KS. Operative treatment of cervical spondylotic myelopathy. J Bone Joint Surg Am. 2006;88:1624.)‏ Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph of the cervical spine of a patient with cervical spondylotic myelopathy managed with C3-C7 laminoplasty and mini-plate fixation. Lateral radiograph of the cervical spine of a patient with cervical spondylotic myelopathy managed with C3-C7 laminoplasty and mini-plate fixation. Raj D. Rao et al. J Bone Joint Surg Am 2007;89:1360-1378 ©2007 by The Journal of Bone and Joint Surgery, Inc.