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Review
. 2018 Jan;29(1):153-158.
doi: 10.1016/j.nec.2017.09.011.

Clinical Characteristics and Management of C3-4 Degenerative Cervical Myelopathy

Masato Tomii  1 , Junichi Mizuno  2
Affiliations
Review

Clinical Characteristics and Management of C3-4 Degenerative Cervical Myelopathy

Masato Tomii et al. Neurosurg Clin N Am. 2018 Jan.

Abstract

Single-level anterior cervical discectomy and fusion (ACDF) was performed at C3-4; non-C3-4 ACDF patients of the authors' random sample of ACDF patients were compared with C3-4 ACDF patients. The radiological study of C3-4 ACDF patients shows that they had significant cervical lordosis, and cervical motion was dependent on the C3-4 segment, which accounted for 39.8% of C2-7 range of intervertebral motion (total motion). In C3-4 ACDF patients, not only static factors but also dynamic factors (instability) at the C3-4 level contributed to the major causes of degenerative cervical myelopathy.

Keywords: Anterior cervical discectomy and fusion; C3-4 level; Cervical spondylotic myelopathy; Degenerative cervical myelopathy; Instability.

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