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Neurology Research International
Volume 2011 (2011), Article ID 734232, 7 pages
http://dx.doi.org/10.1155/2011/734232
Clinical Study

Oblique Corpectomy to Manage Cervical Myeloradiculopathy

1Department of Neurosurgery, Lariboisiere University Hospital, 75475 Paris Cedex 10, France
2Service de Neurochirurgie, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris cedex 10, France

Received 26 May 2011; Accepted 13 August 2011

Academic Editor: Kemal Koc

Copyright © 2011 Chibbaro Salvatore et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The authors describe a lateral approach to the cervical spine for the management of spondylotic myeloradiculopathy. The rationale for this approach and surgical technique are discussed, as well as the advantages, disadvantages, complications, and pitfalls based on the author's experience over the last two decades. Methods. Spondylotic myelo-radiculopathy may be treated via a lateral approach to the cervical spine when there is predominant anterior compression associated with either spine straightening or kyphosis, but without vertebral instability. Results. By using a lateral approach, the lateral aspect of the cervical spine and the vertebral artery are easily reached and visualized. Furthermore, the lateral part of the affected intervertebral disc(s), uncovertebral joint(s), vertebral body(ies), and posterior longitudinal ligament can be removed as needed to decompress nerve root(s) and/or the spinal cord. Conclusion. Multilevel cervical oblique corpectomy and/or lateral foraminotomy allow wide decompression of nervous structures, while maintaining optimal stability and physiological motion of the cervical spine.