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March 1963

Cervical Spondylotic Myelopathy: The Syndrome of the Narrow Canal Treated by Laminectomy, Foramenotomy, and the Removal of Osteophytes.

Author Affiliations

From the Department of Surgery, Divisions of Neurosurgery (Dr. Epstein); Orthopedic Surgery (Dr. Lavine), and the Department of Radiology (Dr. Epstein) of the Long Island Jewish Hospital and the Department of Neurosurgery of the Albert Einstein College of Medicine, Bronx, N.Y.

Arch Neurol. 1963;8(3):307-317. doi:10.1001/archneur.1963.00460030091009

The neurological changes caused by spondylosis of the cervical spine have been well described in the last decade.1-13

In the past, the risks involved in removing spurs from the floor of the canal have discouraged a direct attack on this basic problem. Trauma to the spinal cord and roots by retraction and manipulation in the restricted confines of a canal narrowed by osteophytes has been difficult to avoid.

In the authors' 2 previous reports, the results of decompressive laminectomy and dentate ligament section were reviewed in a group of 15 patients.6,7 While 6 improved following operation, the only one with complete recovery had been in addition subjected to foramenotomy and the removal of osteophytes. Encouraged by this result it was possible in the subsequent cases to improve the technique further by taking advantage of suggestions made by Allen1 and Mayfield.9 Previous surgical reports have indicated significant

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