Euán GA, García RCL, Rosales OLM, Alpizar AA, Reyes SA

Language: Spanish
References: 12
Page: 49-52
PDF size: 179.23 Kb.

ABSTRACT

Introduction: Cervical myelopathy is defined as damage to the spinal cord due to degenerative changes in the cervical spine. In addition, is the most common cause of spinal cord dysfunction in patients older than 55 years, therefore, its understanding and opportune management is important. In this revision we focus on its surgical management and the changes it has presented since the beginning until its current management, including our experience at the National Rehabilitation Institute. Material and methods: A long review of the published literature was carried out with a main focus on its current surgical management. Results: The clinical presentation and natural history of the disease is variable, however, due to the neurological impairment that these patients present, the need to perform a promptly surgical management is essential. Anterior cervical discectomy and fusion (ACDF) is the usual surgical procedure to achieve decompression of the neural elements of the cervical spine, the type of implants usually used are PEEK cages, reporting significant clinical and radiographic results, however, the number of levels is still debated. Conclusions: The multilevel ACDF with PEEK cages is currently one of the most used techniques with significant clinical and radiographic results, which evolves into a better quality of life for patients, however, more studies must still be carried out to allow us to improve this technique and avoid possible complications.

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