To open the space of the spinal cord this Cervical Spondylotic Myelopathy Surgical Treatment is perform. Some Soft tissues and bones that are making continuous pressure on spinal cord are typically removed by this surgery. Cervical Spondylotic Myelopathy can treated both surgically and non- surgically.
By removing nerve root inflammation and spinal cord inflammation doctor can reduce the pain. And after removing nerve root inflammation and spinal cord inflammation patients can work daily functions freely and actively. If there is no improvements observe after 2 to 3 months of non surgical treatment you can go for surgical treatment. Doctors usually consider many factors before recommending any surgery.
There are two approaches available for Cervical Spondylotic Myelopathy. This surgery is mainly performed to get access to spinal cord. There are mainly two types of approaches available:
Anterior approach – This approach as the name suggest perform from the front side of neck. This approach helps to get relief completely from the neck pain. Surgery from the front side of the neck mainly performs to remove the bone and the disc which are creating pressure on your spinal cord. After removal of the bone and the disc the bones fuse back with bone graft.
Posterior approach – The position is different in this approach. Here incision is mainly done from the posterior back of the neck. Mainly Laminectomy and laminoplasty surgery is done in this approach. The main advantage of this approach is that more levels can be address at a time and graft complications can also avoid in this approach.
Surgical treatments have many risk factors like:
- Additional surgery will be needed in later future
- Nerves can get injure
- Patients voice can change
- Vertebral artery can get injured
- Infection and bleeding can happen