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Selected Instructional Course Lecture   |    
Advanced Techniques in Cervical Spine Surgery
Wellington K. Hsu, MD1
1 Departments of Orthopaedic Surgery and Neurological Surgery, Feinberg School of Medicine, Northwestern University, 676 North St. Clair Street, Suite 1350, Chicago, IL 60611. E-mail address: whsu@nmff.org
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Disclosure: The author did not receive any outside funding or grants in support of his research for or preparation of this work. The author, or a member of his immediate family, received, in any one year, payments or other benefits of less than $10,000 or a commitment or agreement to provide such benefits from commercial entities (Stryker, Inc., and Pioneer Surgical, Inc.)

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2012 in Instructional Course Lectures, Volume 61. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Apr 20;93(8):780-788
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Extract

Disorders of the cervical spine can lead to compression of neural elements and cause myelopathy, radiculopathy, or a combination of these conditions. Spinal cord or nerve root compression can be caused by a soft herniated nucleus pulposus, osteophyte formation, facet joint hypertrophy, and/or congenital abnormalities of the cervical spine. If nonoperative treatment fails, surgical treatment can often lead to excellent long-term clinical outcomes. The surgical treatment of these disorders depends on patient preference, clinical findings, and the evidence-based literature. In the properly selected patient, posterior cervical decompression for the treatment of radiculopathy provides potential advantages, including preservation of neck motion, avoidance of complications from anterior surgery, and fewer postoperative restrictions.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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