Pros And Cons Of Strut Grafting

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DISCUSSION

Several article reviews have been published regarding the approaches either be it anterior or posterior for the treatment of CSM. Due to advancement in medical practice, many new surgical technique have been applied and many new biomaterial have appeared. Even though many options are available, Selection of surgical approaches for better clinical outcome for the treatment of CSM remains controversial. CSM often involves from C2-C7 vertebrae. It can cause cervical instability, hyperostosis of ligaments as well as cervical vertebrae, compression of nerve root and spinal cord. Thus, our main aim of treatment is to decompress the nerve. So, any adequate method of decompression, no matter either its anterior or posterior approach, should decompress it properly, maintain physiological curvature of cervical spine and restore the stability of cervical spine.

The surgical strategy depend upon the cause of compression, the primary site of compression, the number of segment involved, the sagittal alignment of the spine. Other factors are patient age, general
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All sorts of pros and cons of laminoplasty versus anterior corpectomy and strut grafting should be kept in mind. Anterior decompression and fusion is a more direct decompression technique that confesses correction of deformity and stabilization with fusion. It is a mechanically demanding procedure in multi segment cases, and it will have lots of complications. Rigid postoperative bracing is necessary in this approach. The posterior approach is an indirect decompression and depends on the spinal cord which is able to shift posteriorly in an increased canal. That is why, kyphotic patient are not good candidates for a posterior approach and anterior impingement on the cord will remain. Instability and subluxation may also worsen with a posterior approach if fusion is not carried

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