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"Cervical spondylotic myelopathy"

Review Article

Cervical Spondylotic Myelopathy: From the World Federation of Neurosurgical Societies (WFNS) to the Italian Neurosurgical Society (SINch) Recommendations
Francesco Costa, Carla Daniela Anania, Umberto Agrillo, Assietti Roberto, Bernucci Claudio, Bistazzoni Simona, Bongetta Daniele, Brembilla Carlo, Cappelletto Barbara, Cocciaro Ardico, Costella Giovanni Battista, De Falco Raffaele, De Rosa Andrea, Del Vecchio Carlo, Dobran Mauro, Fiorenza Vito, Garbossa Diego, Guizzardi Giancarlo, Iaccarino Corrado, Irace Claudio, Incerti Michele, Gualtiero Innocenzi, Landi Alessandro, Lastrucci Giancarlo, Maida Giuseppe, Mastrantuoni Ciro, Maugeri Rosario, Meglio Vincenzo, Montemurro Nicola, Nina Pierpaolo, Parlangeli Andrea, Pinna Giovanni, Pretti Pier Federico, Rapanà Armando, Ricci Alessandro, Rispoli Rossella, Romoli Stefano, Per Filippo Sbaffi, Somma Teresa, Tessitore Enrico, Vitali Matteo, Alberto Zerbi, Zona Gianluigi, Andrea Barbanera
Neurospine 2023;20(2):415-429.   Published online June 30, 2023
DOI: https://doi.org/10.14245/ns.2244996.498

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Cervical Spondylotic Myelopathy: From the World Federation of Neurosurgical Societies (WFNS) to the Italian Neurosurgical Society (SINch) Recommendations
Neurospine. 2023;20(2):415-429.   Published online June 30, 2023
DOI: https://doi.org/10.14245/ns.2244996.498
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Cervical Spondylotic Myelopathy: From the World Federation of Neurosurgical Societies (WFNS) to the Italian Neurosurgical Society (SINch) Recommendations
Neurospine. 2023;20(2):415-429.   Published online June 30, 2023
DOI: https://doi.org/10.14245/ns.2244996.498
Close
Cervical spondylotic myelopathy (CSM) is a progressively growing pathology to afford by a spinal surgeon due to the aging of the population, associated with better treatment management and the best diagnosis and treatment solutions are greatly discussed. Nowadays that scientific literature is progressively increasing to identify the gold standard in diagnosis and treatment can be very challenging. This is particularly evident in spinal surgery with many different indications not only in different countries but also in the same local reality. In this scenario, many neurosurgical societies works to identify some guideline or recommendations to help spinal surgeons in daily practice. Furthermore, in an era in which legal issues are increasingly present in clinical practice to have some indications globally accepted can be very useful. World Federation of Neurosurgical Societies (WFNS) few years ago starts this process creating a list of recommendations originating from a worldwide steering committee to respect all the local reality. The spinal section of Italian Neurosurgical Society decides to adopt the WFNS recommendations with some revision basing on Italian scenario. The steering committee of the Spinal Section of Italian Neurosurgical Society identify 7 groups to review the literature of the last 10 years about different topics on CSM and to analyses the WFNS recommendations to adapt it to the Italian daily practice. The statements were discussed and voted in 2 sessions to obtain the final version. A list of recommendations on natural course and clinical presentation; diagnostic tests; conservative and surgical treatment; anterior, posterior and combined surgical treatment; role of neurophysiological monitoring and follow-up and outcome was created with only few new or revised statements respect the ones of WFNS. The Spine Section of Italian Neurosurgical Society create a list of recommendations that represent the more contemporary treatment concepts for CSM as presented in the highest quality clinical literature and best clinical practices available on this subject.

Citations

Citations to this article as recorded by  Crossref logo
  • Early efficacy and safety of spinal endoscopy assisted anterior cervical discectomy and fusion in the treatment of cervical spondylotic myelopathy
    Haijun Ma, Lijuan Zhan, Mingkui Shen, Zhongxin Tang, Jun Tan
    Frontiers in Oncology.2026;[Epub]     CrossRef
  • Keyhole Foraminotomy Combined With Unilateral Laminotomy for Bilateral Decompression Under Biportal Endoscopic Spinal Surgery for the Treatment of Mixed‐Type Cervical Spondylosis
    Lejian Jiang, Xiaowei Jing, Xiaowen Qiu, Tianxin Wu, Danlei Zheng, Zhuolin Zhong, Yongzhi Jian, Qingfeng Hu
    Orthopaedic Surgery.2026; 18(6): 1278.     CrossRef
  • Characterizing brain network alterations in cervical spondylotic myelopathy using static and dynamic functional network connectivity and machine learning
    Jiyuan Yao, Bingyong Xie, Haoyu Ni, Zhibin Xu, Haoxiang Wang, Sicheng Bian, Kun Zhu, Peiwen Song, Yuanyuan Wu, Yongqiang Yu, Fulong Dong
    Journal of Clinical Neuroscience.2025; 133: 111053.     CrossRef
  • A Retrospective Analysis of Demographic, Clinical, and Postoperative Data of All Cervical Spine Surgeries Performed at a Spine Center: Our Experience of 18 Years
    Bharat R Dave, Sandesh Subhash Agarawal, Mahesh Sagar, Mirant B Dave, Shivanand C Mayi, Ravi Ranjan Rai, Ajay Krishnan, Mikeson Panthackel, Amritesh Singh
    Cureus.2025;[Epub]     CrossRef
  • Early postoperative factors associated with pseudoarthrosis at 24 months following anterior cervical discectomy and fusion
    Hangeul Park, Yunhee Choi, Woojin Kim, Jungbo Sim, Ho Sung Myeong, Jun-Hoe Kim, Chang-Hyun Lee, Chi Heon Kim
    Medicine.2025; 104(46): e45974.     CrossRef
  • Cervical Spondylotic Myelopathy—Diagnostics and Clinimetrics
    Józef Opara, Martyna Odzimek
    Diagnostics.2024; 14(5): 556.     CrossRef
  • Intraoperative Neurophysiological Monitoring in Neurosurgery
    Giusy Guzzi, Riccardo Antonio Ricciuti, Attilio Della Torre, Erica Lo Turco, Angelo Lavano, Federico Longhini, Domenico La Torre
    Journal of Clinical Medicine.2024; 13(10): 2966.     CrossRef
  • Application of Short T1 Inversion Recovery Sequence in Increased Signal Intensity Following Cervical Spondylotic Myelopathy
    Haofan Wang, Wu Ye, Junjun Xiong, Yu Gao, Xuhui Ge, Jiaxing Wang, Yufeng Zhu, Pengyu Tang, Yitong Zhou, Xiaokun Wang, Yao Gu, Wei Liu, Yongjun Luo, Weihua Cai
    World Neurosurgery.2024; 187: e1097.     CrossRef
  • The Improvement of Intraoperative Motor Evoked Potential after Decompression in Cervical Compressive Myelopathy: Its Significance and Related Factors
    Jong Yun Kwon, Dong Hwan Kim, Kyoung Hyup Nam, Byung Kwan Choi, In Ho Han
    The Nerve.2024; 10(2): 80.     CrossRef
  • 14,547 View
  • 468 Download
  • 10 Web of Science
  • 9 Crossref

Original Articles

The Prediction of Neurological Prognosis for Cervical Spondylotic Myelopathy Using Diffusion Tensor Imaging
Soichiro Takamiya, Motoyuki Iwasaki, Takumi Yokohama, Daisuke Oura, Yoshimasa Niiya, Miki Fujimura
Neurospine 2023;20(1):248-254.   Published online March 31, 2023
DOI: https://doi.org/10.14245/ns.2244708.354

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The Prediction of Neurological Prognosis for Cervical Spondylotic Myelopathy Using Diffusion Tensor Imaging
Neurospine. 2023;20(1):248-254.   Published online March 31, 2023
DOI: https://doi.org/10.14245/ns.2244708.354
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The Prediction of Neurological Prognosis for Cervical Spondylotic Myelopathy Using Diffusion Tensor Imaging
Neurospine. 2023;20(1):248-254.   Published online March 31, 2023
DOI: https://doi.org/10.14245/ns.2244708.354
Close
Objective
Although cervical spondylotic myelopathy (CSM) can be easily diagnosed using magnetic resonance imaging (MRI), prediction of surgical effect using preoperative radiological examinations remains difficult. In previous studies, it was reported that diffusion tensor imaging (DTI) may be used for the prediction of surgical effect; however, these studies did not consider the influences of spinal cord compression even though the values of DTI indexes can be distorted by compressive lesions in patients with CSM. Therefore, it is uncertain whether preoperative DTI indexes can actually predict the surgical effect. The aim of this study was to investigate DTI metrics that are hardly affected by spinal cord compression and can accurately predict neurological status after decompressive surgery.
Methods
Twenty-one patients with CSM who underwent surgery and 10 healthy volunteers were enrolled in this study. The subjects underwent cervical MRI, and values of DTI indexes including axial diffusivity (AD), radial diffusivity (RD), apparent diffusion coefficient (ADC), and fractional anisotropy (FA) were recorded at each intervertebral level. Further, the Japanese Orthopaedic Association (JOA) score of each patient with CSM was recorded before and after surgery for neurological status evaluation. Preoperative and postoperative values of DTI indexes were compared, and correlations between preoperative DTI parameters and postoperative neurological recovery were assessed.
Results
After surgery, the lesion-adjacent (LA) ratios of RD and ADC increased (p = 0.04 and p = 0.062, respectively), while the LA ratio of FA decreased (p = 0.075). In contrast, the LA ratio of AD hardly changed. A negative correlation was observed between preoperative LA ratio of AD and JOA recovery rate 6 months after surgery (r = -0.379, p = 0.091). Based on preoperative LA ratio of AD, the patients were divided into a low AD group and a high AD group, and JOA recovery rate 6 months after surgery was found to be higher in the low AD group than in the high AD group (p = 0.024).
Conclusion
In patients with CSM, preoperative LA ratio of AD is seldom affected by spinal cord compression, and it negatively correlates with JOA recovery rate 6 months after surgery.

Citations

Citations to this article as recorded by  Crossref logo
  • Longitudinal predictive value of MOLLI T1 mapping imaging for minimal clinically important difference after surgery for cervical spondylotic myelopathy
    Ruo-Yu Wang, Xiao-Dan Mu, Yu-Jin Zhang, Yi-Fei Peng, Yue Liu, Zi-Bo Wang, Wei Yan, Li Zhang
    European Journal of Radiology.2026; 196: 112660.     CrossRef
  • Enhancing Spinal Cord and Canal Segmentation in Degenerative Cervical Myelopathy : The Role of Interactive Learning Models with manual Click
    Sangmin Han, Jae Keun Oh, Wonwoo Cho, Tae Joon Kim, Noah Hong, Sung Bae Park
    Journal of Korean Neurosurgical Society.2026; 69(2): 176.     CrossRef
  • Diffusion tensor imaging with 3D high-resolution MRI of lumbosacral nerve roots in lumbar disc herniation with radiculopathy and its clinical correlations: a prospective study
    Wei Zeng, Yongliang Pu, Zhangyan Xu, Tongxin Zhu, Dan Liu, Sadaqat Ali, Lisha Nie, Haitao Yang
    La radiologia medica.2026;[Epub]     CrossRef
  • Diffusion Tensor Imaging in Diagnosing and Evaluating Degenerative Cervical Myelopathy: A Systematic Review and Meta-Analysis
    Mohammad Mohammadi, Faramarz Roohollahi, Farzin Farahbakhsh, Aynaz Mohammadi, Elham Mortazavi Mamaghani, Samuel Berchi Kankam, Azin Moarrefdezfouli, Afshar Ghamari Khameneh, Mohamad Mahdi Mahmoudi, Davit Baghdasaryan, Allan R. Martin, James Harrop, Vafa R
    Global Spine Journal.2025; 15(1): 267.     CrossRef
  • Advances in Medical Imaging Equipment: A Review of Research Progress and Clinical Applications
    Qiansheng Ding
    Highlights in Science, Engineering and Technology.2025; 129: 73.     CrossRef
  • Nomogram for predicting the postoperative outcomes in cervical spondylotic myelopathy based on apparent diffusion coefficient
    Jia Li, Xiao-Dan Mu, Yu-Jin Zhang, Bao-Gen Zhao, Ning Wang, Ting Gao, Li Zhang
    European Spine Journal.2025; 34(6): 2247.     CrossRef
  • Quantitative Assessment of Spinal Cord Injury in Cervical Spondylotic Myelopathy: A Comparison Study of MAGiC and MUSE-DTI
    Shuting Huang, Haoyue Shao, Qiufeng Liu, Weiyin Vivian Liu, Qiya Zhang, Longyu Deng, Chaoxu Liu, Deeq Mohamed Omar, Xiangyu Tang
    European Journal of Radiology.2025; 190: 112214.     CrossRef
  • Correlation Between Pre-Operative Diffusion Tensor Imaging Indices and Post-Operative Outcome in Degenerative Cervical Myelopathy: A Systematic Review and Meta-Analysis
    Mohammad Mohammadi, Faramarz Roohollahi, Mohamad Mahdi Mahmoudi, Aynaz Mohammadi, Mobin Mohamadi, Samuel Berchi Kankam, Afshar Ghamari Khameneh, Davit Baghdasaryan, Farzin Farahbakhsh, Allan R. Martin, James Harrop, Vafa Rahimi-Movaghar
    Global Spine Journal.2024; 14(6): 1800.     CrossRef
  • Fractional amplitude of low-frequency fluctuation alterations in patients with cervical spondylotic myelopathy: a resting-state fMRI study
    Kaifu Wu, Han Li, Yuanliang Xie, Shutong Zhang, Xiang Wang
    Neuroradiology.2024; 66(5): 847.     CrossRef
  • Feasibility of diffusion tensor imaging in cervical spondylotic myelopathy using MUSE sequence
    Haoyue Shao, Qiufeng Liu, Azzam Saeed, Chaoxu Liu, Weiyin Vivian Liu, Qiya Zhang, Shuting Huang, Guiling Zhang, Li Li, Jiaxuan Zhang, Wenzhen Zhu, Xiangyu Tang
    The Spine Journal.2024; 24(8): 1352.     CrossRef
  • Utility of Diffusion Tensor Imaging for Prognosis and Management of Cervical Spondylotic Myelopathy: A PRISMA Review
    Alexander A. Chernysh, David H. Loftus, Bryan Zheng, Jonathan Arditi, Owen P. Leary, Jared S. Fridley
    World Neurosurgery.2024; 190: 88.     CrossRef
  • 7,664 View
  • 215 Download
  • 10 Web of Science
  • 11 Crossref
Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment
Narihito Nagoshi, Satoshi Nori, Osahiko Tsuji, Satoshi Suzuki, Eijiro Okada, Mitsuru Yagi, Masaya Nakamura, Morio Matsumoto, Kota Watanabe
Neurospine 2021;18(4):749-757.   Published online December 31, 2021
DOI: https://doi.org/10.14245/ns.2142792.396

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Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment
Neurospine. 2021;18(4):749-757.   Published online December 31, 2021
DOI: https://doi.org/10.14245/ns.2142792.396
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Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment
Neurospine. 2021;18(4):749-757.   Published online December 31, 2021
DOI: https://doi.org/10.14245/ns.2142792.396
Close
Objective
To evaluate the cervical dynamics, neurological function, pain, and quality of life in patients with mild cervical kyphotic alignment who underwent expansive unilateral open-door laminoplasty (ELAP).
Methods
In this retrospective single-center study, we reviewed the surgical outcomes of 80 patients with cervical spondylotic myelopathy who were followed for at least 2 years. The patients were categorized into the preoperative kyphotic group (C2–7 angle < 0°) and nonkyphotic group (angle ≥ 0°). We compared clinical information, radiographic parameters, Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) scores, and cervical Japanese Orthopaedic Association (JOA) scores between the groups.
Results
The kyphotic and nonkyphotic groups comprised 17 and 63 patients, respectively. The preoperative C2–7 angles were -3.7° in the kyphotic group and 15.4° in the nonkyphotic group (p < 0.01). In the kyphotic group, kyphotic alignment improved to lordosis at the final follow-up (2.6°, p = 0.01). The preoperative (16.4° vs. 24.1°, p < 0.01) and finalfollow-up (17.8° vs. 24.5°, p < 0.01) C7 slopes were significantly smaller in the kyphotic group. ELAP reduced pain in the arms or hands (p = 0.02) and improved the JOA scores (p < 0.01) in the kyphotic group. Patient-reported outcomes assessed using the JOACMEQ showed comparable effective rates in both groups.
Conclusion
Patients with mild cervical kyphosis showed smaller C7 slopes as a compensatory mechanism. Kyphotic angles significantly improved to lordosis after ELAP, resulting in favorable clinical outcomes. ELAP is a useful surgical option for patients even if they present mild kyphotic cervical angles.

Citations

Citations to this article as recorded by  Crossref logo
  • Analysis of Risk Factors for Cervical Kyphotic Deformity Despite Laminar Reconstruction in Cervical Intradural Tumor Surgery
    Hangeul Park, Woojin Kim, Jungbo Sim, Ho Sung Myeong, Jun-Hoe Kim, Chang-Hyun Lee, Chun Kee Chung, Chi Heon Kim
    Operative Neurosurgery.2026; 30(6): 850.     CrossRef
  • Lower extremity deep sensory disturbance as a risk factor for postlaminoplasty kyphosis in patients with cervical ossification of the posterior longitudinal ligament
    Tomoya Kanto, Haruki Ueda, Takuya Iimura, Tsuyoshi Sorimachi, Hiroshi Moridaira, Shotaro Fukada, Hiroyuki Hasebe, Miki Komatsu, Satoshi Inami, Satoshi Takada, Masahiro Kanayama, Itaru Oda, Katsuhisa Yamada, Norimasa Iwasaki, Hiroshi Taneichi, Masahiko Tak
    The Spine Journal.2026; 26(4): 685.     CrossRef
  • Long-Term Functional Results and Predictors of Clinical-Functional Outcomes After Unilateral Open-Door Laminoplasty in Patients With Cervical Spondylotic Myelopathy
    Filippo Gagliardi, Pierfrancesco De Domenico, Andrea Bisoglio, Francesca Roncelli, Micol Angela Valle, Silvia Snider, Pietro Mortini
    Clinical Spine Surgery.2026;[Epub]     CrossRef
  • Duration of symptoms before diagnosis in degenerative cervical myelopathy: A systematic review and meta-analysis
    Ailish Malone, Maram Sofiany, Ghalia Dawood, James Wright, Rody Ryan, Caroline Treanor, Conor Gallagher, Warren Lenehan, Frank Doyle, Ciaran Bolger
    Brain and Spine.2025; 5: 104252.     CrossRef
  • Flexion K-Line Status Predicts Surgical Strategy in Multilevel Cervical Ossification of the Posterior Longitudinal Ligament: A Multicenter Comparison of Laminoplasty and Laminectomy With Fusion
    Jun Jae Shin, Sun Joon Yoo, Se Jun Park, Dong Kyu Kim, Hyun Jun Jang, Bong Ju Moon, Kyung Hyun Kim, Jeong Yoon Park, Sung Uk Kuh, Dong Kyu Chin, Keun Su Kim, Yong Eun Cho, Chang Kyu Lee, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Joongkyum Shin, Yoon Ha
    Neurospine.2025; 22(4): 937.     CrossRef
  • Favorable cervical extension capacity preventing loss of cervical lordosis after laminoplasty due to spontaneous restoration of initial lordosis
    Xiaofei Cheng, Zhiqian Chen, Xiaojiang Sun, Changqing Zhao, Jie Zhao
    The Spine Journal.2024; 24(1): 94.     CrossRef
  • Current Concepts of Cervical Spine Alignment, Sagittal Deformity, and Cervical Spine Surgery
    Hidenori Suzuki, Masahiro Funaba, Kazuhiro Fujimoto, Yusuke Ichihara, Norihiro Nishida, Takashi Sakai
    Journal of Clinical Medicine.2024; 13(5): 1196.     CrossRef
  • Machine-learning-based models for the optimization of post-cervical spinal laminoplasty outpatient follow-up schedules
    Yechan Seo, Seoi Jeong, Siyoung Lee, Tae-Shin Kim, Jun-Hoe Kim, Chun Kee Chung, Chang-Hyun Lee, John M. Rhee, Hyoun-Joong Kong, Chi Heon Kim
    BMC Medical Informatics and Decision Making.2024;[Epub]     CrossRef
  • Nationwide sample data analysis of additional surgery rate after anterior or posterior cervical spinal surgery
    Woon Tak Yuh, Minjung Kim, Yunhee Choi, Junghoon Han, Junhoe Kim, Taeshin Kim, Chun Kee Chung, Chang-Hyun Lee, Sung Bae Park, Kyoung-Tae Kim, John M. Rhee, Moon Soo Park, Chi Heon Kim
    Scientific Reports.2023;[Epub]     CrossRef
  • The Optimal Time between Embolization and Surgery for Hypervascular Spinal Metastatic Tumors : A Systematic Review and Meta-Analysis
    Woon Tak Yuh, Junghoon Han, Chang-Hyun Lee, Chi Heon Kim, Hyun-Seung Kang, Chun Kee Chung
    Journal of Korean Neurosurgical Society.2023; 66(4): 438.     CrossRef
  • Cases requiring reoperation for recurrence of myelopathy by lamina closure after a double-door laminoplasty using a modified Kirita–Miyazaki suture method
    Hideki Jimbayashi, Keiichiro Iida, Kobayakawa Kazu, Hirokazu Saiwai, Kenichi Kawaguchi, Yoshihiro Matsumoto, Yasuharu Nakashima
    Journal of Orthopaedics.2023; 44: 12.     CrossRef
  • 7,935 View
  • 163 Download
  • 13 Web of Science
  • 11 Crossref
Cervical Lordosis Ratio as a Novel Predictor for the Loss of Cervical Lordosis After Laminoplasty
Kosei Ono, Sohei Murata, Mutsumi Matsushita, Hiroshi Murakami
Neurospine 2021;18(2):311-318.   Published online January 22, 2021
DOI: https://doi.org/10.14245/ns.2040700.350

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Cervical Lordosis Ratio as a Novel Predictor for the Loss of Cervical Lordosis After Laminoplasty
Neurospine. 2021;18(2):311-318.   Published online January 22, 2021
DOI: https://doi.org/10.14245/ns.2040700.350
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Cervical Lordosis Ratio as a Novel Predictor for the Loss of Cervical Lordosis After Laminoplasty
Neurospine. 2021;18(2):311-318.   Published online January 22, 2021
DOI: https://doi.org/10.14245/ns.2040700.350
Close
Objective
Maintaining cervical lordosis (CL) after laminoplasty is important for indirect decompression of the spinal cord. This study aimed to identify preoperative dynamic radiographic predictors for the loss of CL after laminoplasty.
Methods
We retrospectively analyzed 141 consecutive patients who underwent cervical laminoplasty for cervical myelopathy. The following radiographic parameters were measured before surgery and at 1 year of follow-up: CL, C7 slope, C2–7 sagittal vertical axis (SVA), C2–7 range of motion (ROM), CL in flexion, CL in extension, ROM of flexion (Flex ROM), and ROM of extension. The CL ratio (CLR) was defined as 100 × Flex ROM/ C2–7 ROM. ΔCL was defined as postoperative CL minus preoperative CL. Patients were classified into 2 groups: group K (kyphotic change group, ΔCL ≤ -10) and group C (control group, ΔCL > -10).
Results
The patient population comprised 94 men and 47 women (mean age, 70.9 ± 9.4 years), with 24 patients (17.0%) classified into group K. CL, C7 slope, and CLR were significantly higher in group K than in group C. The groups did not significantly differ in age, sex, C2–7 SVA, and C2–7 ROM. On multivariable analysis, the CLR was significantly associated with postoperative kyphotic changes. On receiver-operating characteristic curve analysis (area under the curve = 0.717, p < 0.001), the cutoff value for CLR was 68.9%, with sensitivity and specificity of 87.5% and 57.3%, respectively.
Conclusion
The CLR, reflecting the balance between flexion and extension mobility, was identified as a novel predictor for CL loss after laminoplasty, with a cutoff value of 68.9%.

Citations

Citations to this article as recorded by  Crossref logo
  • Analysis of Risk Factors for Cervical Kyphotic Deformity Despite Laminar Reconstruction in Cervical Intradural Tumor Surgery
    Hangeul Park, Woojin Kim, Jungbo Sim, Ho Sung Myeong, Jun-Hoe Kim, Chang-Hyun Lee, Chun Kee Chung, Chi Heon Kim
    Operative Neurosurgery.2026; 30(6): 850.     CrossRef
  • Impact of T1 Slope as a Predictor of Loss of Cervical Lordosis and Health-Related Quality of Life after Laminoplasty in Patients with Ossification of the Posterior Longitudinal Ligament : A Retrospective Cohort Study
    Ji-Ho Jung, Jong-Hoon Jeong, Jong-Hwan Hong, Moon-Soo Han, Jung-Kil Lee
    Journal of Korean Neurosurgical Society.2026; 69(1): 124.     CrossRef
  • The effects of C2 instability on cervical curvature changes and clinical outcomes after sub-axial cervical expansive door-open laminoplasty
    Liang Ma, Yuntao Liu, Yanhai Xi, Changgui Shi, Xiangyu Meng
    Frontiers in Surgery.2025;[Epub]     CrossRef
  • Favorable cervical extension capacity preventing loss of cervical lordosis after laminoplasty due to spontaneous restoration of initial lordosis
    Xiaofei Cheng, Zhiqian Chen, Xiaojiang Sun, Changqing Zhao, Jie Zhao
    The Spine Journal.2024; 24(1): 94.     CrossRef
  • Preoperative Cervical Range of Motion in Flexion as a Risk Factor for Postoperative Cervical Sagittal Imbalance After Laminoplasty
    Chengxin Liu, Wei Wang, Xiangyu Li, Bin Shi, Shibao Lu
    Spine.2024; 49(7): 492.     CrossRef
  • The preservation of cervical flexibility helps maintain cervical sagittal alignment after laminoplasty
    Chengxin Liu, Wei Wang, Xiangyu Li, Bin Shi, Shibao Lu
    The Spine Journal.2024; 24(11): 2058.     CrossRef
  • Change of cervical flexion range of motion influences postoperative sagittal alignment of the cervical spine after laminoplasty
    Chengxin Liu, Xiangyu Li, Wei Wang, Bin Shi, Shibao Lu
    BMC Surgery.2024;[Epub]     CrossRef
  • Greater cervical kyphosis during flexion increases the risk of kyphotic deformity after laminoplasty in patients with cervical spondylotic myelopathy
    Takashi Fujishiro, Takuya Obo, Yuki Yamamoto, Yoshitada Usami, Sachio Hayama, Yoshiharu Nakaya, Atsushi Nakano, Masashi Neo
    Journal of Clinical Neuroscience.2024; 125: 24.     CrossRef
  • Machine-learning-based models for the optimization of post-cervical spinal laminoplasty outpatient follow-up schedules
    Yechan Seo, Seoi Jeong, Siyoung Lee, Tae-Shin Kim, Jun-Hoe Kim, Chun Kee Chung, Chang-Hyun Lee, John M. Rhee, Hyoun-Joong Kong, Chi Heon Kim
    BMC Medical Informatics and Decision Making.2024;[Epub]     CrossRef
  • Predictors for cervical kyphotic deformity following laminoplasty: a systematic review and meta-analysis
    Samuel D. Pettersson, Paulina Skrzypkowska, Shan Ali, Tomasz Szmuda, Michał Krakowiak, Tadej Počivavšek, Fanny Sunesson, Justyna Fercho, Grzegorz Miękisiak
    Journal of Neurosurgery: Spine.2023; 38(1): 4.     CrossRef
  • Effect of preoperative dynamic cervical sagittal alignment on the loss of cervical lordosis after laminoplasty
    Chengxin Liu, Bin Shi, Wei Wang, Xiangyu Li, Shibao Lu
    BMC Musculoskeletal Disorders.2023;[Epub]     CrossRef
  • Nationwide sample data analysis of additional surgery rate after anterior or posterior cervical spinal surgery
    Woon Tak Yuh, Minjung Kim, Yunhee Choi, Junghoon Han, Junhoe Kim, Taeshin Kim, Chun Kee Chung, Chang-Hyun Lee, Sung Bae Park, Kyoung-Tae Kim, John M. Rhee, Moon Soo Park, Chi Heon Kim
    Scientific Reports.2023;[Epub]     CrossRef
  • Correlation between the Photographic Cranial Angles and Radiographic Cervical Spine Alignment
    Tomoko Kawasaki, Shunsuke Ohji, Junya Aizawa, Tomoko Sakai, Kenji Hirohata, Hironobu Kuruma, Hirohisa Koseki, Atsushi Okawa, Tetsuya Jinno
    International Journal of Environmental Research and Public Health.2022; 19(10): 6278.     CrossRef
  • Commentary on “Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment”
    Dongwuk Son
    Neurospine.2021; 18(4): 758.     CrossRef
  • 9,584 View
  • 220 Download
  • 14 Web of Science
  • 14 Crossref

Review Articles

Review of Radiological Parameters, Imaging Characteristics, and Their Effect on Optimal Treatment Approaches and Surgical Outcomes for Cervical Ossification of the Posterior Longitudinal Ligament
Nobuyuki Shimokawa, Hidetoshi Sato, Hiroaki Matsumoto, Toshihiro Takami
Neurospine 2019;16(3):506-516.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938268.134

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Review of Radiological Parameters, Imaging Characteristics, and Their Effect on Optimal Treatment Approaches and Surgical Outcomes for Cervical Ossification of the Posterior Longitudinal Ligament
Neurospine. 2019;16(3):506-516.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938268.134
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Review of Radiological Parameters, Imaging Characteristics, and Their Effect on Optimal Treatment Approaches and Surgical Outcomes for Cervical Ossification of the Posterior Longitudinal Ligament
Neurospine. 2019;16(3):506-516.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938268.134
Close
Determining the optimal surgical method for cervical ossification of the posterior longitudinal ligament (OPLL) is challenging. The surgical indication should be made based on not only radiological findings, but also the patient’s age, preoperative neurological findings, social background, activities of daily life, and the presence or absence of comorbid diseases. Anterior resection for OPLL with or without wide corpectomy and fusion, posterior decompression with or without relatively long fusion, or anterior and posterior combined surgery may be considered. When evaluating the clinical condition of patients with cervical OPLL before surgery, various radiological parameters should be carefully considered, including the number of spinal segments involved, the cervical alignment or tilt angle, the relationship between OPLL and the C2–7 line (termed the “K-line”), the occupying ratio of OPLL, and the involvement of dural ossification. The objective of this article is to review the radiological parameters in current use for deciding upon the optimal surgical strategy and for predicting surgical outcomes, focusing on cervical OPLL.

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Recommendations of WFNS Spine Committee

Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques –WFNS Spine Committee Recommendations
Mehmet Zileli, Sachin A. Borkar, Sumit Sinha, Rui Reinas, Óscar L. Alves, Se-Hoon Kim, Sumeet Pawar, Bala Murali, Jutty Parthiban
Neurospine 2019;16(3):386-402.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938240.120

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Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques –WFNS Spine Committee Recommendations
Neurospine. 2019;16(3):386-402.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938240.120
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Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques –WFNS Spine Committee Recommendations
Neurospine. 2019;16(3):386-402.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938240.120
Close
Objective
This study presents the results of a systematic literature review conducted to determine most up-to-date information on the natural outcome of cervical spondylotic myelopathy (CSM) and the most reliable diagnostic techniques.
Methods
A literature search was performed for articles published during the last 10 years.
Results
The natural course of patients with cervical stenosis and signs of myelopathy is quite variable. In patients with no symptoms, but significant stenosis, the risk of developing myelopathy with cervical stenosis is approximately 3% per year. Myelopathic signs are useful for the clinical diagnosis of CSM. However, they are not highly sensitive and may be absent in approximately one-fifth of patients with myelopathy. The electrophysiological tests to be used in CSM patients are motor evoked potential (MEP), spinal cord evoked potential, somatosensory evoked potential, and electromyography (EMG). The differential diagnosis of CSM from other neurological conditions can be accomplished by those tests. MEP and EMG monitoring are useful to reduce C5 root palsy during CSM surgery. Notable spinal cord T2 hyperintensity on cervical magnetic resonance imaging (MRI) is correlated with a worse outcome, whereas lighter signal changes may predict better outcomes. T1 hypointensity should be considered a sign of more advanced disease.
Conclusion
The natural course of CSM is quite variable. Signal changes on MRI and some electrophysiological tests are valuable adjuncts to diagnosis.

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  • Intraoperative neurophysiologic monitoring during reperfusion injury in surgery for cervical spondylotic myelopathy
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  • Preoperative Radiological Parameters to Predict Clinical and Radiological Outcomes after Laminoplasty
    Su Hun Lee, Dong Wuk Son, Jun Jae Shin, Yoon Ha, Geun Sung Song, Jun Seok Lee, Sang Weon Lee
    Journal of Korean Neurosurgical Society.2021; 64(5): 677.     CrossRef
  • Commentary on “Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment”
    Dongwuk Son
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  • Snake-Eye Myelopathy and Surgical Prognosis: Case Series and Systematic Literature Review
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  • Perioperative Outcomes in 17,947 Patients Undergoing 2-Level Anterior Cervical Discectomy and Fusion Versus 1-Level Anterior Cervical Corpectomy for Treatment of Cervical Degenerative Conditions: A Propensity Score Matched National Surgical Quality Improv
    Anoop R. Galivanche, Raj Gala, Preetpaul S. Bagi, Arianne J. Boylan, Christopher M. Dussik, Pedro D. Coutinho, Jonathan N. Grauer, Arya G. Varthi
    Neurospine.2020; 17(4): 871.     CrossRef
  • 33,057 View
  • 796 Download
  • 58 Web of Science
  • 53 Crossref

Recommendations of WFNS Spine Committee

Value of Surgery and Nonsurgical Approaches for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations
Jutty Parthiban, Oscar L. Alves, Komal Prasad Chandrachari, Premanand Ramani, Mehmet Zileli
Neurospine 2019;16(3):403-407.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938238.119

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Value of Surgery and Nonsurgical Approaches for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations
Neurospine. 2019;16(3):403-407.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938238.119
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Value of Surgery and Nonsurgical Approaches for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations
Neurospine. 2019;16(3):403-407.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938238.119
Close
Cervical spondylotic myelopathy (CSM) is a common cause of adult spinal cord dysfunction. Although the therapeutic options for moderate to severe CSM patients have been established well, the existing guidelines for therapeutic decisions in mild cases of CSM are unclear. We present a review of literature on conservative treatment and surgery for CSM and suggest general recommendations applicable in various clinical presentations and in different geographic locations across the globe, with due considerations to available resources and locally prevalent practices.

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Original Article

Preoperative Narcotic Use, Impaired Ambulation Status, and Increased Intraoperative Blood Loss Are Independent Risk Factors for Complications Following Posterior Cervical Laminectomy and Fusion Surgery
Ryan K. Badiee, Andrew K. Chan, Joshua Rivera, Annette Molinaro, Brianna R. Doherty, K. Daniel Riew, Dean Chou, Praveen V. Mummaneni, Lee A. Tan
Neurospine 2019;16(3):548-557.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938198.099

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Preoperative Narcotic Use, Impaired Ambulation Status, and Increased Intraoperative Blood Loss Are Independent Risk Factors for Complications Following Posterior Cervical Laminectomy and Fusion Surgery
Neurospine. 2019;16(3):548-557.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938198.099
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Preoperative Narcotic Use, Impaired Ambulation Status, and Increased Intraoperative Blood Loss Are Independent Risk Factors for Complications Following Posterior Cervical Laminectomy and Fusion Surgery
Neurospine. 2019;16(3):548-557.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938198.099
Close
Objective
This retrospective cohort study seeks to identify risk factors associated with complications following posterior cervical laminectomy and fusion (PCLF) surgery.
Methods
Adults undergoing PCLF from 2012 through 2018 at a single center were identified. Demographic and radiographic data, surgical characteristics, and complication rates were compared. Multivariate logistic regression models identified independent predictors of complications following surgery.
Results
A total of 196 patients met the inclusion criteria and were included in the study. The medical, surgical, and overall complication rates were 10.2%, 23.0%, and 29.1% respectively. Risk factors associated with medical complications in multivariate analysis included impaired ambulation status (odds ratio [OR], 2.27; p=0.02) and estimated blood loss over 500 mL (OR, 3.67; p=0.02). Multivariate analysis revealed preoperative narcotic use (OR, 2.43; p=0.02) and operative time (OR, 1.005; p=0.03) as risk factors for surgical complication, whereas antidepressant use was a protective factor (OR, 0.21; p=0.01). Overall complication was associated with preoperative narcotic use (OR, 1.97; p=0.04) and higher intraoperative blood loss (OR, 1.0007; p=0.03).
Conclusion
Preoperative narcotic use and estimated blood loss predicted the incidence of complications following PCLF for CSM. Ambulation status was a significant predictor of the development of a medical complication specifically. These results may help surgeons in counseling patients who may be at increased risk of complication following surgery.

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  • 120 Download
  • 7 Web of Science
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Review Article

Recommendations of WFNS Spine Committee

Outcome Measures and Variables Affecting Prognosis of Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations
Mehmet Zileli, Shradha Maheshwari, Shashank Sharad Kale, Kanwaljeet Garg, Sajesh K. Menon, Jutty Parthiban
Neurospine 2019;16(3):435-447.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938196.098

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Outcome Measures and Variables Affecting Prognosis of Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations
Neurospine. 2019;16(3):435-447.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938196.098
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Outcome Measures and Variables Affecting Prognosis of Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations
Neurospine. 2019;16(3):435-447.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938196.098
Close
This study is conducted to review the literature systematically to determine most reliable outcome measures, important clinical and radiological variables affecting the prognosis in cervical spondylotic myelopathy patients. A literature search was performed for articles published during the last 10 years. As functional outcome measures we recommend to use modified Japanese Orthopaedic Association scale, Nurick’s grade, and Myelopathy Disability Index. Three clinical variables that affect the outcomes are age, duration of symptoms, and severity of the myelopathy. Examination findings require more detailed study to validate their effect on the outcomes. The predictive variables affecting the outcomes are hand atrophy, leg spasticity, clonus, and Babinski’s sign. Among the radiological variables, the curvature of the cervical spine is the most important predictor of prognosis. Patients with instability are expected to have a poor surgical outcome. Spinal cord compression ratio is a critical factor for prognosis. High signal intensity on T2-weighted magnetic resonance images is a negative predictor for prognosis. The most important predictors of outcome are preoperative severity and duration of symptoms. T2 hyperintensity and cord compression ratio can also predict outcomes. New radiological tests may give promising results in the future.

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    Haneen J Mohammed, Mazin M Hammady, Farah N Abbas
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  • Cervical Spondylotic Myelopathy: From the World Federation of Neurosurgical Societies (WFNS) to the Italian Neurosurgical Society (SINch) Recommendations
    Francesco Costa, Carla Daniela Anania, Umberto Agrillo, Assietti Roberto, Bernucci Claudio, Bistazzoni Simona, Bongetta Daniele, Brembilla Carlo, Cappelletto Barbara, Cocciaro Ardico, Costella Giovanni Battista, De Falco Raffaele, De Rosa Andrea, Del Vecc
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  • Does MR Signal Intensity Change have Prognostic Value in Multilevel Cervical Myelopathy? A Single-Center, Prospective Study
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    Neurology India.2023; 71(2): 285.     CrossRef
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    European Radiology.2022; 32(5): 3565.     CrossRef
  • Improving Awareness Could Transform Outcomes in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 1]
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  • 357 Download
  • 42 Web of Science
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Clinical Articles

Preliminary Experiences of the Combined Midline-Splitting French Door Laminoplasty with Polyether Ether Ketone (PEEK) Plate for Cervical Spondylosis and OPLL
Chang Hyun Oh, Gyu Yeul Ji, Junseok W. Hur, Won-Seok Choi, Dong Ah Shin, Jang-Bo Lee
Korean J Spine 2015;12(2):48-54.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.48

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Preliminary Experiences of the Combined Midline-Splitting French Door Laminoplasty with Polyether Ether Ketone (PEEK) Plate for Cervical Spondylosis and OPLL
Korean J Spine. 2015;12(2):48-54.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.48
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Preliminary Experiences of the Combined Midline-Splitting French Door Laminoplasty with Polyether Ether Ketone (PEEK) Plate for Cervical Spondylosis and OPLL
Korean J Spine. 2015;12(2):48-54.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.48
Close
Objective

The purpose of this study was to evaluate the safety and efficacy of cervical midline-splitting French-door laminoplasty with a polyether ether ketone (PEEK) plate. The authors retrospectively analyzed the results of patients with cervical laminoplasty miniplate (MAXPACER®) without bone grafts in multilevel cervical stenosis.

Methods

Fifteen patients (13 males and 2 females, mean age 50.0 years (range 35-72)) with multilevel cervical stenosis (ossification of the posterior longitudinal ligament and cervical spondylotic myelopathy) underwent a combined surgery of midline-splitting French-door laminoplasty with or without mini plate. All 15 patients were followed for at least 12 months (mean follow-up 13.3 months) after surgery, and a retrospective review of the clinical, radiological and surgical data was conducted.

Results

The radiographic results showed a significant increase over the postoperative period in anterior-posterior diameter (9.4±2.2 cm to 16.2±1.1 cm), open angles in cervical lamina (46.5±16.0° to 77.2±13.1°), and sectional volume of cervical central canal (100.5±0.7 cm2 to 146.5±4.9 cm2) (p<0.001). The sagittal alignment of the cervical spine was well preserved (31.7±10.0° to 31.2±7.6°, p=0.877) during the follow-up period. The clinical results were successful, and there were no significant intraoperative complications except for screw displacement in two cases. The mini plate constructs did not fail during the 12 month follow-up period, and the decompression was maintained.

Conclusion

Despite the small cohort and short follow-up duration, the present study demonstrated that combined cervical expansive laminoplasty using the mini plate is an effective treatment for multilevel cervical stenosis.

Citations

Citations to this article as recorded by  Crossref logo
  • Clip-plate versus suture-anchor in double-door laminoplasty for degenerative cervical myelopathy: Protocol for a multicenter, non-inferiority, randomized controlled trial
    Kentaro Yamada, Kenichiro Sakai, Takashi Hirai, Kazuyuki Fukushima, Takuya Takahashi, Yu Matsukura, Satoru Egawa, Hiroaki Onuma, Motonori Hashimoto, Akihiro Hirakawa, Yoshiyasu Arai, Toshitaka Yoshii, Koji Akeda
    PLOS One.2026; 21(4): e0339103.     CrossRef
  • 11,904 View
  • 97 Download
  • 1 Crossref
Effectiveness of the Laminoplasty in the Elderly Patients with Cervical Spondylotic Myelopathy
Doo Kyung Son, Dong Wuk Son, Geun Sung Song, Sang Weon Lee
Korean J Spine 2014;11(2):39-44.   Published online June 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.2.39

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Effectiveness of the Laminoplasty in the Elderly Patients with Cervical Spondylotic Myelopathy
Korean J Spine. 2014;11(2):39-44.   Published online June 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.2.39
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Effectiveness of the Laminoplasty in the Elderly Patients with Cervical Spondylotic Myelopathy
Korean J Spine. 2014;11(2):39-44.   Published online June 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.2.39
Close
Objective

The purpose of this study is to evaluate clinical and radiological outcomes analysis of the laminoplasty in the elderly patients, and to compare with the non-elderly patients.

Methods

A retrospective study of the short term result in patients who had treated with the laminoplasty for cervical spondylotic myelopathy (CSM) was performed. From January 2008 to December 2012, total 62 patients were operated with single open-door technique because of CSM; 28 patients were the elderly and 34 patients were the non-elderly. We evaluated some factors including sex, symptom duration, estimated blood loss during operation, operation time, hospitalization day, complications, pre- and postoperative modified Japanese Orthopedic Association (mJOA) score, recovery rate of mJOA score, achieved mJOA score, mean cervical canal width and expansion ratio of antero-posterior diameter in order to identify difference between the two group. Clinical outcomes were calculated with the recovery rate of mJOA score at the time of one year after operation.

Results

Mean age were 71.9 in the elderly group and 52.9 in the non-elderly group. Although postoperative mJOA score in the elderly group was lower than that of the non-elderly group, achieved mJOA score was statistically same between the two groups. Other clinical and radiological outcomes were also statistically same.

Conclusion

We conclude that the laminoplasty also assures good clinical outcomes in the elderly patients with CSM, same as in the non-elderly group.

Citations

Citations to this article as recorded by  Crossref logo
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    Alexis Manuel Portillo-González, Julio César López-Valdés, Daniel Alejandro Vega-Moreno, Óscar Medina-Carrillo, Abraham Ibarra-De la Torre, Ulises García-González
    Neurocirugía (English Edition).2026; 37(2): 500732.     CrossRef
  • Resultados neurológicos después de corpectomía con injertos autólogos versus cajas de titanio expandibles: un estudio piloto
    Alexis Manuel Portillo-González, Julio César López-Valdés, Daniel Alejandro Vega-Moreno, Óscar Medina-Carrillo, Abraham Ibarra-De la Torre, Ulises García-González
    Neurocirugía.2026; 37(2): 500732.     CrossRef
  • Adult cervical spine deformity: a state-of-the-art review
    Brendan Jackson-Fowl, Aaron Hockley, Sara Naessig, Waleed Ahmad, Katherine Pierce, Justin S. Smith, Christopher Ames, Christopher Shaffrey, Claudia Bennett-Caso, Tyler K. Williamson, Kimberly McFarland, Peter G. Passias
    Spine Deformity.2024; 12(1): 3.     CrossRef
  • Significance of immediate conservative management in sport related cervical injuries
    Mohammed Sheeba Kauser, V.V Manjula Kumari
    IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain.2024; 10(1): 18.     CrossRef
  • Predicting Neck Dysfunction After Open-Door Cervical Laminoplasty — A Prospective Cohort Patient-Reported Outcome Measurement Study
    Chiu-Hao Hsu, Wei-Wei Chen, Meng-Yin Ho, Chin-Chieh Wu, Dar-Ming Lai
    Neurospine.2024; 21(4): 1053.     CrossRef
  • Probabilistic graphical modelling using Bayesian networks for predicting clinical outcome after posterior decompression in patients with degenerative cervical myelopathy
    Dong Ah Shin, Sun-Ho Lee, Sohee Oh, Changwon Yoo, Hee-Jin Yang, Ikchan Jeon, Sung Bae Park
    Annals of Medicine.2023;[Epub]     CrossRef
  • Clinical Factors Influencing the Neurological Recovery of Patients Operated for a Cervical Myelopathy at the Teaching Hospital of Bouake
    Derou Louis, Dongo Soress, Yao Konan Serge, Teti Landry, Keke Jean-Baptiste, Fionko Yao Bernard, Tokpa André, Broalet Espérance, Haidara Aderehime
    Open Journal of Modern Neurosurgery.2023; 13(02): 51.     CrossRef
  • Neurological recovery rate and minimal clinically important difference as metrics for assessing outcomes of decompressive surgery in patients with degenerative cervical myelopathy
    Laura Ganau, Gianfranco K. I. Ligarotti, Mario Ganau
    Acta Neurochirurgica.2022; 164(12): 3181.     CrossRef
  • Cervical Sagittal Imbalance after Cervical Laminoplasty in Elderly Patients
    Hyun Woong Mun, Chang Duk Yuk, Tae Hwan Kim, Moon Soo Park, Seok Woo Kim, Ji Hee Kim, Jun Hyong Ahn, In Bok Chang, Joon Ho Song, Jae Keun Oh, Andrea Lovato
    BioMed Research International.2020;[Epub]     CrossRef
  • The efficacy of posterior cervical laminectomy for multilevel degenerative cervical spondylotic myelopathy in long term period
    Neilakuo Kire, Sanyam Jain, Zahir Merchant, Vishal Kundnani
    Asian Journal of Neurosurgery.2019; 14(03): 848.     CrossRef
  • Degenerative Cervical Myelopathy in Higher-Aged Patients: How Do They Benefit from Surgery?
    Oliver Gembruch, Ramazan Jabbarli, Ali Rashidi, Mehdi Chihi, Nicolai El Hindy, Axel Wetter, Bernd-Otto Hütter, Ulrich Sure, Philipp Dammann, Neriman Özkan
    Journal of Clinical Medicine.2019; 9(1): 62.     CrossRef
  • Significant Predictors of Outcome Following Surgery for the Treatment of Degenerative Cervical Myelopathy
    Lindsay Tetreault, Lisa M. Palubiski, Michael Kryshtalskyj, Randy K. Idler, Allan R. Martin, Mario Ganau, Jefferson R. Wilson, Mark Kotter, Michael G. Fehlings
    Neurosurgery Clinics of North America.2018; 29(1): 115.     CrossRef
  • Surgical Treatment of Cervical Spondylotic Myelopathy in the Elderly
    Norihiro Isogai, Narihito Nagoshi, Akio Iwanami, Hitoshi Kono, Yoshiomi Kobayashi, Takashi Tsuji, Nobuyuki Fujita, Mitsuru Yagi, Kota Watanabe, Kazuya Kitamura, Yuta Shiono, Masaya Nakamura, Morio Matsumoto, Ken Ishii, Junichi Yamane
    Spine.2018; 43(24): E1430.     CrossRef
  • Cervical spondylotic myelopathy: National trends in the treatment and peri-operative outcomes over 10 years
    Peter G. Passias, Bryan J. Marascalchi, Anthony J. Boniello, Sun Yang, Kristina Bianco, Cyrus M. Jalai, Nancy J. Worley, Samantha R. Horn, Virginie Lafage, John A. Bendo
    Journal of Clinical Neuroscience.2017; 42: 75.     CrossRef
  • Two-Year Results of the Prospective Spine Treatment Outcomes Study: An Analysis of Complication Rates, Predictors of Their Development, and Effect on Patient Derived Outcomes at 2 Years for Surgical Management of Cervical Spondylotic Myelopathy
    Michael C. Gerling, Kris Radcliff, Robert Isaacs, Kristina Bianco, Cyrus M. Jalai, Nancy J. Worley, Jaspreet Parmar, Gregory W. Poorman, Samantha R. Horn, John Y. Moon, Paul M. Arnold, Alexander R. Vaccaro, Peter Passias
    World Neurosurgery.2017; 106: 247.     CrossRef
  • Surgical outcomes of elderly patients with cervical spondylotic myelopathy: a meta-analysis of studies reporting on 2868 patients
    Karthik Madhavan, Lee Onn Chieng, Hanyao Foong, Michael Y. Wang
    Neurosurgical Focus.2016; 40(6): E13.     CrossRef
  • Surgical Outcomes and Correlation of the Copenhagen Neck Functional Disability Scale and Modified Japanese Orthopedic Association Assessment Scales in Patients with Cervical Spondylotic Myelopathy
    Shirzad Azhari, Parisa Azimi, Sohrab Shazadi, Hamid Khayat Kashany, Hossein Nayeb Aghaei, Hassan Reza Mohammadi
    Asian Spine Journal.2016; 10(3): 488.     CrossRef
  • CERVICAL SPINOLAMINOPLASTY WITH NEWLY DESIGNED TITANIUM MINI-PLATES
    CAN YALDIZ, TOLGA TOLUNAY, ARSLAN KAĞAN ARSLAN, ONUR YAMAN, TEYFIK DEMIR
    Journal of Mechanics in Medicine and Biology.2016; 16(04): 1650050.     CrossRef
  • Surgical Outcome of Laminoplasty for Cervical Spondylotic Myelopathy in an Elderly Population – Potentiality for Effective Early Surgical Intervention: A Meta-analysis
    Yasuhiro TAKESHIMA, Ryuta MATSUOKA, Ichiro NAKAGAWA, Fumihiko NISHIMURA, Hiroyuki NAKASE
    Neurologia medico-chirurgica.2016; 57(7): 366.     CrossRef
  • The Reliability of the Ultrasonic Bone Scalpel in Cervical Spondylotic Myelopathy: A Comparative Study of 46 Patients
    Mehmet Resid Onen, Evren Yuvruk, Sinem Akay, Sait Naderi
    World Neurosurgery.2015; 84(6): 1962.     CrossRef
  • 10,157 View
  • 79 Download
  • 20 Crossref
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