Seminars in Spine Surgery
Volume 19, Issue 1 , Pages 27-34 , March 2007

Cervical Spondylotic Myelopathy: Anterior Approach: Multilevel Anterior Cervical Discectomy and Fusion versus Corpectomy

  • Eric Klineberg, MD
    • ,
  • Robert F. McLain, MD
    • ,
  • Gordon R. Bell, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Gordon R. Bell, MD, 9500 Euclid Avenue, Desk A-41, The Cleveland Clinic Spine Institute, The Cleveland Clinic Foundation, Cleveland, Ohio 44195.

References 

  1. Rao R. Neck pain, cervical radiculopathy and cervical myelopathy. J Bone Joint Surg Am. 2002;84(10):1872–1881
  2. Geck MJ, Eismont FJ. Surgical options for the treatment of cervical spondylotic myleopathy. Orthop Clin N Am. 2002;33:329–348
  3. McCormick WE, Steinmetz MP, Benzel EC. Cervical spondylotic myleopathy: make the difficult diagnosis then refer for surgery. Cleve Clin J Med. 2003;70:10899–10904
  4. Clarke E, Robinson PK. Cervical myelopathy: a complication of cervical spondylosis. Brain. 1956;79(3):483–510
  5. Epstein JA. The surgical management of cervical spinal stenosis, spondylosis, and myeloradiculopathy by means of the posterior approach. Spine. 1988;13(7):864–869
  6. Syman L, Lavender P. The surgical treatment of cervical spondylitic myelopathy. Neurology. 1967;17:117–126
  7. Roberts AH. Myelopathy due to cervical spondylosis treated by collar immobilization. Neurology. 1966;16:951–954
  8. Epstein N, Epstein JA, Benjamin V, et al. Traumatic myelopathy in patients with cervical spinal stenosis without fracture or dislocation. Spine. 1980;5:489–496
  9. Montgomery DM, Brower RS. Cervical spondylotic myelopathy (Clinical syndrome and natural history). Orthop Clin North Am. 1992;23(3):487–493
  10. Phillips DG. Surgical treatment of myelopathy with cervical spondylosis. J Neurol Neurosurg Psychiatry. 1973;36(5):879–884
  11. Ebersold MJ, Pare MC, Quast LM. Surgical treatment for cervical spondylitic myelopathy. J Neurosurg. 1995;82(5):745–751
  12. Edwards CC, Riew D, Anderson PA, et al. Cervical myleopathy: current diagnostic and treatment strategies. Spine J. 2003;3:68–81
  13. Sodeyama T, Goto S, Mochizuki M, et al. Effect of decompression enlargement laminoplasty for posterior shifting of the spinal cord. Spine. 1999;24(15):1527–1531
  14. Yonenobu K, Fuji T, Ono K, et al. Choice of surgical treatment for multisegmental cervical spondylotic myelopathy. Spine. 1985;10(8):710–716
  15. Herkowitz HN, Kurz LT, Overholt DP. Surgical management of cervical soft disc herniation (A comparison between the anterior and posterior approach). Spine. 1990;15(10):1026–1030
  16. Hilibrand AS, Carlson GD, Palumbo MA, et al. Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Joint Surg Am. 1999;81(4):519–528
  17. Eck JC, Humphreys SC, Lim TH, et al. Biomechanical study on the effect of cervical spine fusion on adjacent-level intradiscal pressure and segmental motion. Spine. 2002;27(22):2431–2434
  18. Wang JC, McDonough PW, Endow KK, et al. The effect of cervical plating on single-level anterior discectomy and fusion. J Spinal Disord. 1999;12:467–471
  19. Wang JC, McDonough PW, Endow KK, et al. Increased fusion rates with cervical plating for two level anterior cervical discectomy and fusion. Spine. 2000;25(1):41–45
  20. Hilibrand AS, Fye MA, Emery SE, et al. Increased rate of arthrodesis with strut grafting after multilevel anterior cervical decompression. Spine. 2002;27(2):146–151
  21. Swank ML, Lowery GL, Bhat AL, et al. Anterior cervical allograft arthrodesis and instrumentation: multilevel interbody grafting or strut graft reconstruction. Eur Spine J. 1997;6(2):138–143
  22. Wang JC, McDonough PW, Endow KK, et al. A comparison of fusion rates between single-level cervical corpectomy and two-level discectomy and fusion. J Spinal Disord. 2001;14(3):222–225
  23. Groff MW, Sriharan S, Lee SM, et al. Partial corpectomy for cervical spondylosis. Spine. 2003;28(1):14–20
  24. Vaccaro AR, Falatyn SP, Scuderi GJ, et al. Early failure of long segment anterior cervical plate fixation. J Spinal Disord. 1998;11(5):410–415
  25. Sasso RC, Ruggiero RA, Reilly TM, et al. Early reconstruction failures after multilevel cervical corpectomy. Spine. 2003;28(2):140–142
  26. Epstein N. Anterior approaches to cervical spondylosis and ossification of the posterior longitudinal ligament: review of operative technique and assessment of 65 multilevel circumferential procedures. Surg Neurol. 2001;55(6):313–324
  27. McAfee PC, Bohlman HH, Ducker TB, et al. One-stage anterior cervical decompression and posterior stabilization (A study of one hundred patients with a minimum of two years of follow-up). J Bone Joint Surg Am. 1995;77(12):1791–1800
  28. Ashkenazi E, Smorgick Y, Rand N, et al. Anterior decompression combined with corpectomies and discectomies in the management of multilevel cervical myelopathy: a hybrid decompression and fixation technique. J Neurosurg Spine. 2005;3(3):205–209
  29. Kadoya S, Nakamura T, Kwak R, et al. Anterior osteophytectomy for cervical spondylotic myelopathy in developmentally narrow canal. J Neurosurg. 1985;63(6):845–850
  30. Yonenobu K, Okada K, Fuji T, et al. Causes of neurologic deterioration following surgical treatment of cervical myelopathy. Spine. 1986;11(8):818–823
  31. Connolly ES, Seymour RJ, Adams JE. Clinical evaluation of anterior cervical fusion for degenerative cervical disc disease. J Neurosurg. 1965;23(4):431–437
  32. Robinson RA, Walker AE, Ferlic DC, et al. The results of anterior interbody fusion of the cervical spine. J Bone Joint Surg Am. 1962;44:1569–1587
  33. Stevens JM, Clifton AG, Whitear P. Appearances of posterior osteophytes after sound anterior interbody fusion in the cervical spine: a high-definition computed myelographic study. Neuroradiology. 1993;35(3):227–228
  34. Suchomel P, Barsa P, Buchvald P, et al. Autologous versus allogenic bone grafts in instrumented anterior cervical discectomy and fusion: a prospective study with respect to bone union pattern. Eur Spine J. 2004;13(6):510–515
  35. Samartzis D, Shen FH, Matthews DK, et al. Comparison of allograft to autograft in multilevel anterior cervical discectomy and fusion with rigid plate fixation. Spine J. 2003;3(6):451–459
  36. Samartzis D, Shen FH, Goldberg EJ, et al. Is autograft the gold standard in achieving radiographic fusion in one-level anterior cervical discectomy and fusion with rigid anterior plate fixation?. Spine. 2005;30(15):1756–1761
  37. Zdeblick TA, Ducker TB. The use of freeze-dried allograft bone for anterior cervical fusions. Spine. 1991;16(7):726–729
  38. Emery SE, Bolesta MJ, Banks MA, et al. Robinson anterior cervical fusion comparison of the standard and modified techniques. Spine. 1994;19(6):660–663
  39. Anderson DG, Albert TJ. Bone grafting, implants, and plating options for anterior cervical fusions. Orthop Clin North Am. 2002;33(2):317–328
  40. Brodke DS, Klimo P, Bachus KN, et al. Anterior cervical fixation: analysis of load-sharing and stability with use of static and dynamic plates. J Bone Joint Surg Am. 2006;88(7):1566–1573
  41. Park JB, Cho YS, Riew KD. Development of adjacent-level ossification in patients with an anterior cervical plate. J Bone Joint Surg Am. 2005;87(3):558–563
  42. Flynn TB. Neurologic complications of anterior cervical interbody fusion. Spine. 1982;7(6):536–539
  43. Apfelbaum RI, Kriskovich MD, Haller JR. On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery. Spine. 2000;25(22):2906–2912
  44. Heeneman H. Vocal cord paralysis following approaches to the anterior cervical spine. Laryngoscope. 1973;83(1):17–21
  45. Rao RD, Gourab K, David KS. Operative treatment of cervical spondylotic myleopathy. J Bone Joint Surg Am. 2006;88(7):1619–1640
  46. Bazaz R, Lee MJ, Yoo JU. Incidence of dysphagia after anterior cervical spine surgery: a prospective study. Spine. 2002;27(22):2453–2458
  47. Lee MJ, Bazaz R, Furey CG, et al. Influence of anterior cervical plate design on Dysphagia: a 2-year prospective longitudinal follow-up study. J Spinal Disord Tech. 2005;18(5):406–409
  48. Yonenobu K, Hosono N, Iwasaki M, et al. Neurologic complications of surgery for cervical compression myelopathy. Spine. 1991;16(11):1277–1282
  49. Ikenaga M, Shikata J, Tanaka C. Radiculopathy of C-5 after anterior decompression for cervical myelopathy. Spine. 2006;31(14):1568–1574
  50. Choi JW, Lee JK, Moon KS, et al. Endovascular embolization of iatrogenic vertebral artery injury during anterior cervical spine surgery: report of two cases and review of the literature. Spine. 2006;31(23):E891–E894
  51. Smith MD, Emery SE, Dudley A, et al. Vertebral artery injury during anterior decompression of the cervical spine (A retrospective review of ten patients). J Bone Joint Surg Br. 1993;75(3):410–415
  52. Chibbaro S, Benvenuti L, Carnesecchi S, et al. Anterior cervical corpectomy for cervical spondylotic myelopathy: experience and surgical results in a series of 70 consecutive patients. J Clin Neurosci. 2006;13(2):233–238
  53. Goldberg EJ, Singh K, Van U, et al. Comparing outcomes of anterior cervical discectomy and fusion in workman’s versus non-workman’s compensation population. Spine J. 2002;2(6):408–414
  54. Emery SE, Bohlman HH, Bolesta MJ, et al. Anterior cervical decompression and arthrodesis for the treatment of cervical spondylotic myelopathy (Two to seventeen-year follow-up). J Bone Joint Surg Am. 1998;80(7):941–951
  55. Phillips FM, Carlson G, Emery SE, et al. Anterior cervical pseudarthrosis (Natural history and treatment). Spine. 1997;22(14):1585–1589
  56. Ikenaga M, Shikata J, Tanaka C. Long-term results over 10 years of anterior corpectomy and fusion for multilevel cervical myelopathy. Spine. 2006;31(14):1568–1574

PII: S1040-7383(07)00008-1

doi: 10.1053/j.semss.2007.01.007

Seminars in Spine Surgery
Volume 19, Issue 1 , Pages 27-34 , March 2007

Article Tools

* Image Usage & Resolution