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. 1986 Apr;49(4):353–361. doi: 10.1136/jnnp.49.4.353

The surgical treatment of cervical myelopathy due to spondylosis and disc degeneration.

R V Jeffreys
PMCID: PMC1028758  PMID: 3701345

Abstract

A personal prospective study of the surgical treatment of cervical myelopathy due to spondylosis and disc protrusion is presented. One hundred and thirty-seven patients with severe disability have undergone surgery according to a protocol involving both the anterior approach of Cloward and decompressive laminectomy. Fifty-two percent of patients have returned to full employment, 39% to light employment and 9% remained disabled though improved from their pre-operative status. The pathenogenesis, natural history and treatment are discussed and reasons advanced to suggest that the disability resulting from severe forms of the condition may be alleviated in the majority of cases.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams C. B., Logue V. Studies in cervical spondylotic myelopathy. 3. Some functional effects of operations for cervical spondylotic myelopathy. Brain. 1971;94(3):587–594. doi: 10.1093/brain/94.3.587. [DOI] [PubMed] [Google Scholar]
  2. BRADSHAW P. Some aspects of cervical spondylosis. Q J Med. 1957 Apr;26(102):177–208. [PubMed] [Google Scholar]
  3. Barnes M. P., Saunders M. The effect of cervical mobility on the natural history of cervical spondylotic myelopathy. J Neurol Neurosurg Psychiatry. 1984 Jan;47(1):17–20. doi: 10.1136/jnnp.47.1.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. CAMPBELL A. M., PHILLIPS D. G. Cervical disk lesions with neurological disorder. Differential diagnosis, treatment, and prognosis. Br Med J. 1960 Aug 13;2(5197):481–485. doi: 10.1136/bmj.2.5197.481. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. CLOWARD R. B. The anterior approach for removal of ruptured cervical disks. J Neurosurg. 1958 Nov;15(6):602–617. doi: 10.3171/jns.1958.15.6.0602. [DOI] [PubMed] [Google Scholar]
  6. DEREYMAEKER A., GHOSEZ J. P., HENKES R. [The surgical treatment of cervical discopathy. Comparative results of the posterior approach (laminectomy) and ventral approach (corporeal fusion), in 50 personal cases]. Neurochirurgie. 1963 Jan-Mar;9:13–20. [PubMed] [Google Scholar]
  7. Galera R., Tovi D. Anterior disc excision with interbody fusion in cervical spondylotic myelopathy and rizopathy. J Neurosurg. 1968 Apr;28(4):305–310. doi: 10.3171/jns.1968.28.4.0305. [DOI] [PubMed] [Google Scholar]
  8. HUGHES J. T., BROWNELL B. CERVICAL SPONDYLOSIS COMPLICATED BY ANTERIOR SPINAL ARTERY THROMBOSIS. Neurology. 1964 Dec;14:1073–1077. doi: 10.1212/wnl.14.12.1073. [DOI] [PubMed] [Google Scholar]
  9. Jeffreys R. V. The surgical treatment of cervical spondylotic myelopathy. Acta Neurochir (Wien) 1979;47(3-4):293–305. doi: 10.1007/BF01406411. [DOI] [PubMed] [Google Scholar]
  10. LEES F., TURNER J. W. NATURAL HISTORY AND PROGNOSIS OF CERVICAL SPONDYLOSIS. Br Med J. 1963 Dec 28;2(5373):1607–1610. doi: 10.1136/bmj.2.5373.1607. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lunsford L. D., Bissonette D. J., Zorub D. S. Anterior surgery for cervical disc disease. Part 2: Treatment of cervical spondylotic myelopathy in 32 cases. J Neurosurg. 1980 Jul;53(1):12–19. doi: 10.3171/jns.1980.53.1.0012. [DOI] [PubMed] [Google Scholar]
  12. Nurick S. The natural history and the results of surgical treatment of the spinal cord disorder associated with cervical spondylosis. Brain. 1972;95(1):101–108. doi: 10.1093/brain/95.1.101. [DOI] [PubMed] [Google Scholar]
  13. Nurick S. The pathogenesis of the spinal cord disorder associated with cervical spondylosis. Brain. 1972;95(1):87–100. doi: 10.1093/brain/95.1.87. [DOI] [PubMed] [Google Scholar]
  14. O'Laoire S. A., Thomas D. G. Spinal cord compression due to prolapse of cervical intervertebral disc (herniation of nucleus pulposus). Treatment in 26 cases by discectomy without interbody bone graft. J Neurosurg. 1983 Nov;59(5):847–853. doi: 10.3171/jns.1983.59.5.0847. [DOI] [PubMed] [Google Scholar]
  15. Phillips D. G. Surgical treatment of myelopathy with cervical spondylosis. J Neurol Neurosurg Psychiatry. 1973 Oct;36(5):879–884. doi: 10.1136/jnnp.36.5.879. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. SMITH G. W., ROBINSON R. A. The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg Am. 1958 Jun;40-A(3):607–624. [PubMed] [Google Scholar]

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