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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Naha City Hosp, Dept Orthoped Surg, Furujima 2-31-1, Naha City, Okinawa, JapanNaha City Hosp, Dept Orthoped Surg, Furujima 2-31-1, Naha City, Okinawa, Japan
Serikyaku, Hisashi
Higa, Shoichiro
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Naha City Hosp, Dept Orthoped Surg, Furujima 2-31-1, Naha City, Okinawa, JapanNaha City Hosp, Dept Orthoped Surg, Furujima 2-31-1, Naha City, Okinawa, Japan
Higa, Shoichiro
Yara, Tetsuya
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Naha City Hosp, Dept Orthoped Surg, Furujima 2-31-1, Naha City, Okinawa, JapanNaha City Hosp, Dept Orthoped Surg, Furujima 2-31-1, Naha City, Okinawa, Japan
Yara, Tetsuya
Miyata, Yuji
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Naha City Hosp, Dept Anesthesiol, Naha City, Okinawa, JapanNaha City Hosp, Dept Orthoped Surg, Furujima 2-31-1, Naha City, Okinawa, Japan
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Univ Alabama Birmingham, Div Neurol, Birmingham, AL USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Matz, Paul G.
Anderson, Paul A.
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Univ Wisconsin, Dept Orthopaed Surg, Madison, WI USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Anderson, Paul A.
Holly, Langston T.
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Univ Calif Los Angeles, David Geffen Sch Med, Div Neurosurg, Los Angeles, CA 90095 USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Holly, Langston T.
Groff, Michael W.
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Harvard Univ, Sch Med, Dept Neurosurg, Boston, MA USA
Beth Israel Deaconess Med Ctr, Boston, MA 02215 USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Groff, Michael W.
Heary, Robert F.
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Univ Med & Dent New Jersey, Dept Neurosurg, New Jersey Med Sch, Newark, NJ 07103 USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Heary, Robert F.
Kaiser, Michael G.
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Columbia Univ, Dept Neurol Surg, Neurol Inst, New York, NY USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Kaiser, Michael G.
Mummaneni, Praveen V.
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Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA 94143 USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Mummaneni, Praveen V.
Ryken, Timothy C.
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Univ Iowa Hosp & Clin, Dept Neurosurg, Iowa City, IA 52242 USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Ryken, Timothy C.
Choudhri, Tanvir F.
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Mt Sinai Sch Med, Dept Neurosurg, New York, NY USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Choudhri, Tanvir F.
Vresilovic, Edward J.
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Penn State Coll Med, Dept Orthopaed Surg, Milton S Hershey Med Ctr, Hershey, PA USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
Vresilovic, Edward J.
Resnick, Daniel K.
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Univ Wisconsin, Dept Neurol Surg, Madison, WI USAUniv Alabama Birmingham, Div Neurol, Birmingham, AL USA
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China Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R China
Yuan, Wei
Zhu, Yue
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China Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R China
Zhu, Yue
Liu, Xinchun
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China Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R China
Liu, Xinchun
Zhou, Xiaoshu
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China Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R China
Zhou, Xiaoshu
Cui, Cui
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China Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Hosp 1, Dept Orthoped, Shenyang, Liaoning, Peoples R China
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Hosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USAHosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USA
Kim, Han Jo
Tetreault, Lindsay A.
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Univ Toronto, Toronto Western Hosp, Inst Med Sci, Toronto, ON M5T 2S8, CanadaHosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USA
Tetreault, Lindsay A.
Massicotte, Eric M.
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Univ Toronto, Dept Surg, Toronto, ON, CanadaHosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USA
Massicotte, Eric M.
Arnold, Paul M.
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Univ Kansas Hosp, Kansas City, KS USAHosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USA
Arnold, Paul M.
Skelly, Andrea C.
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Spectrum Res Inc, Tacoma, WA USAHosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USA
Skelly, Andrea C.
Brodt, Erika D.
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Spectrum Res Inc, Tacoma, WA USAHosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USA
Brodt, Erika D.
Riew, K. Daniel
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Washington Univ, Sch Med, Washington Univ Orthoped, Dept Cerv Spine Surg, St Louis, MO USAHosp Special Surg, Spine & Scoliosis Serv, New York, NY 10021 USA