Japanese Journal of Neurosurgery
Online ISSN : 2187-3100
Print ISSN : 0917-950X
ISSN-L : 0917-950X
SPECIAL ISSUES Spine/Spinal Cord
Current Status and Options for Surgical Treatment of Cervical Spondylotic Myelopathy
Shigeo UedaJiro OharaAtsuhiko ToyoshimaMiyuki FukudaNobuhiro SasakiMasayuki KurodaMinoru Hoshimaru
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JOURNAL OPEN ACCESS

2023 Volume 32 Issue 5 Pages 290-299

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Abstract

  The incidence of degenerative spinal diseases in the Japanese population has markedly risen in recent years, owing to the demographic shift towards an aging population. Hence, the frequency of surgical interventions for degenerative spinal conditions has increased. Recently, minimally invasive procedures are also being considered as viable options for older patients who may have previously been considered as poor candidates for surgery. Cervical spondylotic myelopathy is one of the most prevalent degenerative spinal disorders. Its pathological mechanism encompasses both static and dynamic factors, and contributes to spinal cord compression and gradual alteration of anatomical structures associated with aging. This mechanism differs significantly from that of intracranial diseases, and must be considered by neurosurgeons during diagnosis and treatment of degenerative spinal conditions. This article provides a comprehensive overview of the current surgical options for the treatment of cervical spondylotic myelopathy, with an emphasis on the diversity of options that currently exist.

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© 2023 The Japanese Congress of Neurological Surgeons

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
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