Revolutionizing Spine Surgery: Dual Case Reports on Customized Approaches for Cervical Myelopathy and Bilateral Radiculopathy

Discover how a customized surgical approach is revolutionizing the treatment of patients with the complex combination of cervical myelopathy and bilateral radiculopathy, offering new hope through a blend of laminoplasty, laminectomy, and foraminotomy.
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Tailor-Made Surgical Strategy for Coexistent Cervical Myelopathy and Bilateral Radiculopathy. Combined Laminoplasty, Laminectomy, and Foraminotomy: Report of Two Cases.

Maki et al., Cureus 2023
DOI: 10.7759/cureus.50195

New Information: The study presents a less invasive, single-session surgical approach for treating cervical spondylosis that combines laminoplasty, laminectomy, and foraminotomy tailored to individual patient needs.

Importance: This approach could offer an alternative to the more invasive two-staged anterior and posterior surgeries traditionally used for cervical spondylosis with coexisting myelopathy and radiculopathy.

Contribution to Literature: The paper contributes case studies demonstrating the effectiveness of a single-session surgery in resolving symptoms of cervical spondylosis. The first case involved a 67-year-old man with cervical canal and foraminal stenosis, who underwent laminoplasty and foraminotomy, resulting in symptom remission. The second case was a 43-year-old man with similar conditions, treated with laminoplasty, laminectomy, and foraminotomy, also achieving symptom relief.

The results suggest that a customized combination of surgical techniques in one session can be an effective treatment strategy for cervical spondylosis, potentially reducing the need for more invasive procedures.

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