Cervical spondylotic myelopathy: A two decade experience

Robert F. Heary, Anna MacDowall, Nitin Agarwal

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Context: Cervical myelopathy occurs as a result of compression of the cervical spinal cord. Symptomatology includes, but is not limited to, pain, weakness, paresthesias, or gait/balance difficulties. Objective: To present a two-decade experience with the management of cervical myelopathy. Methods: Literature was reviewed to provide current guidelines for management as well as accompanying clinical presentations. Results: Surgical decompression, if necessary, may be achieved from either an anterior, a posterior, or a combined anterior-posterior (AP) approach. The indications for each approach, as well as the surgical techniques, are described. Conclusion: Several etiologies may lead to cord compression and cervical myelopathy. The best vector of approach with regard to anterior versus posterior surgical intervention is still under investigation. Regardless, management via surgical decompression has been demonstrated repeatedly to improve the CSM patients’ quality of life.

Original languageEnglish
Pages (from-to)407-415
Number of pages9
JournalJournal of Spinal Cord Medicine
Issue number4
StatePublished - Jul 4 2019


  • Anterior cervical decompression and fusion
  • Cervical myelopathy
  • Laminoplasty
  • Posterior cervical decompression and fusion
  • Sagittal alignment


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