TOTBİD Dergisi

TOTBİD Dergisi

2017, Cilt 16, Sayı, 4     (Sayfalar: 356-359)

Comparison of anterior and posterior approaches in cervical myelopathy treatment

Mehmet Aydoğan 1, Ayhan Kılıç 2

1 Fulya Ortopedi ve Omurga Merkezi, İstanbul
2 Acıbadem Taksim Hastanesi Ortopedi ve Travmatoloji Kliniği, İstanbul

DOI: 10.14292/totbid.dergisi.2017.48
Görüntüleme: 323
İndirme : 228

Surgical approach to surgical treatment of cervical degenerative diseases differs according to the patient`s pathology as anterior, posterior or anterior-posterior (combined) surgical methods. Each approach has its advantages and disadvantages. Anterior approaches include simple single level discectomy and fusion, multi-level discectomy and fusion, arthroplasty and corpectomy. Posterior approaches include laminectomy, laminoplasty and laminoforaminotomy. Natural course without surgery can result in neurological deterioration. On the other end, surgical decompression results in neurological recovery or preservation of the neurological condition of many patients. Surgical treatment of multi-level cervical myelopathy is mainly performed in two ways: corpectomy, and posterior laminectomy or laminoplasty. However, debate still continues as to which approach provides better clinical outcomes.

Anahtar Kelimeler : cervical disc dissease; anterior approach; posterior approach