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Review
. 2020 Sep-Oct;11(5):822-829.
doi: 10.1016/j.jcot.2020.07.012. Epub 2020 Jul 21.

Degenerative cervical myelopathy: Recent updates and future directions

Gururaj Sangondimath  1 , Abhinandan Reddy Mallepally  1 , Nandan Marathe  1 , Kin-Cheung Mak  2 , Suman Salimath  1
Affiliations
Review

Degenerative cervical myelopathy: Recent updates and future directions

Gururaj Sangondimath et al. J Clin Orthop Trauma. 2020 Sep-Oct.

Erratum in

  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] J Clin Orthop Trauma. 2021 Aug 5;21:101558. doi: 10.1016/j.jcot.2021.101558. eCollection 2021 Oct. J Clin Orthop Trauma. 2021. PMID: 34414072 Free PMC article.

Abstract

Advances in patient selection, surgical techniques, and postoperative care have facilitated spine surgeons to manage complex spine cases with shorter operative times, reduced hospital stay and improved outcomes. We focus this article on a few areas which have shown maximum developments in management of degenerative cervical myelopathy and also throw a glimpse into the future ahead. Imaging modalities, surgical decision making, robotics and neuro-navigation, minimally invasive spinal surgery, motion preservation, use of biologics are few of them. Through this review article, we hope to provide the readers with an insight into the present state of art in cervical myelopathy and what the future has in store for us.

Keywords: ADR; Cervical myelopathy; DTI; Hybrid; JOA; Laminoplasty.

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Figures

Fig. 1
Fig. 1
DTI MRI showing FA and ADC values at different levels in the cervical spine.
Fig. 2
Fig. 2
Dynamic MRI showing buckling of ligamentum flavum posteriorly with cord edema in extension which was not obvious on the flexion MRI.
Fig. 3
Fig. 3
(A, B, C, D): Anteroposterior and lateral neutral and dynamic radiographs showing cervical disc replacement and restoration of range of motion in a 38 year old post-operative female with cervical radiculopathy.
Fig. 4
Fig. 4
Mazor X robotic guided instrumentation planning showing axial images with 3D orientation.
Fig. 5
Fig. 5
Use of navigation guided (A) Screw insertion in C2 pedicle, Axial (B) and sagittal (C) for harms fixation (D) in a 30 year male patient.
Fig. 6
Fig. 6
Sagittal (A) and (B) axial section of images showing discogenic compression in a 36 year male with right upper-limb radiculopathy treated with uniportal posterior endoscopic decompression (C).
Fig. 7
Fig. 7
Pathogenesis: modes of static compression. Acknowledgement for figure 7: Dr. Devanshi Doshi and Dr. Nidhi Kala
Fig. 8
Fig. 8
Flowchart: pathophysiology of cervical myelopathy.
See this image and copyright information in PMC

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