الفهرس 
Anatomy of Cervical Spine and Vertebral ArteryOnly 14 pages are availabe for public view
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Abstract
Degenerative spondylotic myeloradiculopathy is a common disease that is thought to be the result of chronic, repetitive compressive damage to the cervical spinal cord and roots which is a common cause of radicular pain and weakness in the arms and progressive leg weakness, spasticity, and gait disturbance in the later decades of life.
It has been surgically treated by various means: subtotal corpectomies with strut grafting, multiple discectomies with or without interbody fusions, anterior foraminotomy, laminectomy, and laminoplasty. However, the choice of the most appropriate surgical approach for this condition is still controversial.
Oblique corpectomy is a new technique. It has been reported for the first time in 1992. Since 1992, the technique of multilevel oblique corpectomy (MOC) has been applied at Lariboisière Hospital for the surgical treatment of spondylotic myeloradiculopathy and a first series has been published in 1999. from this time, several teams have done many studies and confirmed favorable outcome.
Oblique corpectomy is thought to be a valid alternative for the management of cervical spondylotic myeloradiculopathy which offers alot of advanteges with the right selection of patients. Good knowledge of vertebral artery variations is essential and careful analysis of preoperative imaging is mandatory. This technique does not compromise stability, as much as anterior approaches do. It may be applied for patients with straight or kyphotic axis of the spine. The incidence of early and late postoperative complications is lower, and bone grafting is not necessary, allowing for it to be used in patients with a low fusion rate such as the elderly, diabetics, and heavy smokers. It also permits early patient mobilization with no postoperative immobilization. The most frequent complication is the Horner’s syndrome due to the manipulation of the sympathetic chain, which can be reduced by good orientation. Optimal results rely on proper selection of patients and preservation of cervical spine stability.