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The Natural History and Management of Cervical Spondylotic Myelopathy

Author

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  • Cary Fletcher

    (Orthopaedic Surgeon, Saint Ann’s Bay Regional Hospital, Jamaica)

Abstract

Cervical spondylotic myelopathy results from degenerative changes in the cervical spine and its associated soft tissues. The pathology starts in the intervertebral disc before involving other anatomical sites in the cervical spine and soft tissue. Subsequent pathoanatomy may lead to alterations in biomechanics, stability and neurological function. The natural history is highly variable and there has been differing views on the indications and timing of surgery as well as the surgical approaches. This article reviews the literature on these issues and gives the rationale for the current opinions in management.

Suggested Citation

  • Cary Fletcher, 2017. "The Natural History and Management of Cervical Spondylotic Myelopathy," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 9(1), pages 1-4, November.
    • Handle: RePEc:adp:joroaj:v:9:y:2017:i:1:p:1-4
    DOI: 10.19080/OROAJ.2017.09.555751
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