Cervical spondylotic myelopathy (CSM) is the most common progressive spinal cord disorder in patients more than 55 years old. This disease is also the most common cause of acquired spasticity in later life and may lead to progressive spasticity and neurologic decline. This article explores some of the controversies about CSM and reviews pertinent articles, specifically prospective and randomized clinical trials when possible, to obtain the cleanest and least biased data. The 4 current controversial topics that surround CSM are: (1) natural history of mild CSM; (2) surgical approach: anterior versus posterior; (3) laminoplasty or laminectomy; and (4) cervical arthroplasty for CSM.
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Hamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Yoshida, Go
Kanemura, Tokumi
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Konan Kosei Hosp, Dept Orthoped Surg, Konan, Aichi, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Kanemura, Tokumi
Ishikawa, Yoshimoto
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Konan Kosei Hosp, Dept Orthoped Surg, Konan, Aichi, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Ishikawa, Yoshimoto
Matsumoto, Akiyuki
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Konan Kosei Hosp, Dept Orthoped Surg, Konan, Aichi, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Matsumoto, Akiyuki
Ito, Zenya
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Nagoya Univ, Dept Orthoped Surg, Nagoya, Aichi 4648601, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Ito, Zenya
Tauchi, Ryoji
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Nagoya Univ, Dept Orthoped Surg, Nagoya, Aichi 4648601, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Tauchi, Ryoji
Muramoto, Akio
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Nagoya Univ, Dept Orthoped Surg, Nagoya, Aichi 4648601, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Muramoto, Akio
Matsuyama, Yukihiro
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Hamamatsu Med Univ, Dept Orthoped Surg, Hamamatsu, Shizuoka, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan
Matsuyama, Yukihiro
Ishiguro, Naoki
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Nagoya Univ, Dept Orthoped Surg, Nagoya, Aichi 4648601, JapanHamamatsu Med Ctr, Dept Orthoped Surg, Naka Ku, Hamamatsu, Shizuoka 4328580, Japan