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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2010 October;23(5):187-91
Evaluation and management of cervical spondylotic myelopathy
Scarponi S., Baldini M.
1 Policlinico San Donato, San Donato Milanese, Milano, Italy
2 Neurochirurgia, Università degli Studi di Genova, Genova, Italy
Cervical spondylotic myelopaty frequently is underdiagnosed and undertreated, often leading to increased disability. The key to the initial diagnosis is a careful neurological examination. The physical findings may be subtle, thus a high index of suspicion is important. These important syndrome may be associated with congenital or development stenosis of the cervical canal. The problem can begin with degenerative changes in the disc, wihich produce secondary changes in the adjacent structures. The spinal canal result limitated for osteophytic spurring of the facet, and uncovertebral joints. The compression of the spinal cord result from intervertebral disc herniation in the 70% of cases, and invagination of the ligament flavum in 23% of patients. The aim of these study is based on the revision of series 36 cases operated, during a period of 3 years. The clinical evaluation after operation with physical and radiographic examination, electrophysiological control has schowed a recovery of spinal cord dysfunction and peripheral neuropathy in 30% of patients.