The goal of surgery for cervical spondylotic myelopathy (CSM) is to open the space for the spinal cord. There are many successful surgical techniques for treating CSM. The goal of surgery is to open the space for the spinal cord, or "decompress" the spinal canal. The decompression is performed either from the front of your neck (anterior) or the back (posterior). Each approach has its advantages and disadvantages.
Aim and Objective: To manage the cervical myelopathy by different surgical techniques presented to department of Orthopaedics, BPKIHS, Dharan.
Materials and methods: This is retrospective interventional study done at the department of Orthopaedics, BPKIHS, Dharan, Nepal over a period of 2 years from March 2012 to April 20014. A total of 15 patients with cervical myelopathy were treated by different surgical technique. The patient’s age ranged from 50 to 65years and the mean follow-up was 12 weeks.
Results: The study comprised of 55 patients with cervical spine injuries were treated by pedicle screw The age incidence in this series ranged from 20 years to 60 years. 40 patients were males and 20 was female.
Discussion: The primary goal of surgery for CSM, regardless of approach, is to stabilize the spine and prevent neurologic problems from getting worse. The goal is not necessarily to restore normal function. A secondary goal is potentially improving the associated neck pain, motor (weakness), sensory (numbness/tingling), and gait (walking) disturbances. Final outcomes from the surgery vary. Typically, one-third of patients improve, one-third stay the same, and one-third continue to worsen over time, with respect to their pre-surgical symptoms. Elderly patients have higher rates of complications from surgery. So do overweight patients, diabetics, smokers, and patients with multiple medical problems.
Conclusion: People with CSM are recommended for surgery to make sure that their symptoms do not get worse.