The Treatment Of Liberal Treatment Essay

1497 Words6 Pages
Conservative Treatment Conservative treatment are helpful in the early stage of the disease. Patients who are unfit or unwilling to undergo operative treatment, patient who are in plateau period without recent exacerbation, patients who present with new onset of subtle myelopathic findings and radiographic evidence of a soft disc herniation should undergo for preoperative evaluation, and these type of patient should undergo, physical therapy for gait training, occupational therapy for improvement of upper extremity dexterity, and neck immobilization with a hard cervical collar. Patient counseling about the possibility of symptomatic worsening and hazards of minor cervical trauma should be done. Follow up of patient every 6 to 12 months is done to look for neurologic function deterioration. Operative Treatment The approach for surgical treatment of cervical spondylotic myelopathy are anterior, posterior and combined (ie, anterior and posterior) approach. Anterior approach include multiple anterior cervical discectomy with fusion (ACDF), anterior corpectomy and strut fusion techniques with or without the use of anterior instrumentation. Posterior approach include multilevel laminectomy, laminectomy plus fusion and laminoplasty. The choice is either an anterior or posterior approach is determined on the basic of specific procedure is based on multiple factors, including the source of spinal cord compression, overall sagittal alignment, the number of vertebral segments
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