BACKGROUND Although anterior cervical decompression and fusion (ACDF) can be performed using minimally invasive techniques, the extensive removal of anatomical keystones during decompression requires a segmental fusion to restore biomechanical stability. Treatment with arthrodesis techniques may result in a prolonged recovery time, loss of motion, and the need for further treatment if a pseudar...

level, pupil reaction, and corneal reflex. However, there were many discrepancies in individual patients so that the vestibulo-ocular reflex afforded useful information additional to that obtained from traditional tests. Bilateral abnormal motor activity or absent pupil reactions were often associated with relatively unimpaired vestibulo-ocular reflex responses. There was no correlation between...

We conducted a study to evaluate the operative details, perioperative complications, and short-term outcomes associated with combined anterior-posterior decompression and fusion (CAPDF) for treating cervical spondylotic myelopathy (CSM). We retrospectively reviewed the charts of 21 patients who underwent CAPDF at our institution. Pertinent information, including demographics, surgery indication...

Background. Postoperative C5 motor palsy is known as a common complication not only after cervical laminectomy but also after anterior discectomy. There is no consensus to verify any of the proposed mechanisms of C5 palsy following posterior cervical decompression. The authors of this article have found that C5 palsy is more common among patients with smaller C5 root exit foramen area. The purp...

Objective: To summarize neurological outcome and complications after skull distraction combination of anterior cervical surgery managed with corpectomy, titanium mesh cage reconstruction, and cervical locking plate. Methods: A total of 42 patients with lower cervical spine fracture and dislocation were included in this study between May 2009 and September 2014. The average follow-up time was 18...

A 59-year-old man with a history of chronic ankylosing spondylitis for many years, developed neck pain and left cervico-brachial neuralgia following a road traffic accident sustained one week before. Plain radiographs of cervical spine were initially misinterpreted. On examination, he had severe neck pain on mobilization without any neurological deficits. Delayed cervical computed tomography sc...

level, pupil reaction, and corneal reflex. However, there were many discrepancies in individual patients so that the vestibulo-ocular reflex afforded useful information additional to that obtained from traditional tests. Bilateral abnormal motor activity or absent pupil reactions were often associated with relatively unimpaired vestibulo-ocular reflex responses. There was no correlation between...

Two cases were reported in which severe postoperative laryngeal edema were developed after the operation of diffuse idiopathic skeletal hyperostosis (DISH) of cervical spine. In the first case, sudden airway obstruction was developed in the general ward 6 hour after uneventful decompression surgery for osteophyte. In the second patient, an elective preoperative tracheostomy was performed before...

The advantages of anterior surgery for severe ossification of the posterior longitudinal ligament in the cervical spine have been reported. However, it is more technically demanding and associated with a high risk of surgery-related complications. The purpose of this study was to evaluate the feasibility of longitudinal decompression techniques in anterior surgery for severe ossification of the...

The authors discuss their recent experience with anteriorly located C1-C2 neurofibromata in five patients with cervical myelopathy and magnetic resonance scans consistent with intradural extramedullary masses in this region. Surgery was performed using a posterolateral approach with microscopic intradural exploration. Gross total intradural tumor removal was achieved in all cases. Improvement i...