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Baaj, Ali A. et al.: 2025 Handbook of Spine Surgery DOI: 10.1055/b-0045-209437
III: Spinal Pathology

23 Cervical and Thoracic Spine Degenerative Disease

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Editors: Baaj, Ali A.; Mummaneni, Praveen V.; Uribe, Juan S.; Vaccaro, Alexander R.; Greenberg, Mark S.

Authors: Aabedi, Alexander; Abd-El-Barr, Muhammad M.; Adindu, Ebubechi; Agarwal, Nitin; Aguilar-Salinas, Pedro; Alakkad, Salah A.; Alan, Nima; Alanay, Ahmet; Alikhani, Puya; Ammerman, Samuel; Angelov, Ivan; Avila, Mauricio J.; Baeesa, Saleh; Baldwin, Edward L.; Barrera-Arreola, Michelle; Benet, Arnau; Bergin, Stephen M.; Boddapati, Venkat; Bono, Christopher M.; Canseco, Jose A.; Carr, Matthew T.; Chalif, Eric; Chalif, Joshua; Chamberlin, Kelly; Chan, Andrew K.; Chang, Steve W.; Chou, Dean; Chryssikos, Timothy; Chua, Melissa M. J.; Jr, John Clayton Clohisy; Connolly, Ian David; Coumans, Jean-Valery; Coury, Josephine; Dahdaleh, Nader S.; Demirci, Nuri; Deshpande, Rajakumar V.; Diwan, Ashish D.; Elsayed, Galal A.; Emmerich, Juan; Farber, S. Harrison; Feger, Mark A.; Fiani, Brian; Florence, TJ; Fridley, Jared; Gadsden, Jeff; Galgano, Michael; Gandía, Marisa; Ghobrial, George M.; Gokaslan, Ziya; Gonzalez, Glenn A.; Goodwin, C. Rory; Goodwin, Matthew L.; Greenfield, Jeffrey P.; Grossbach, Andrew J.; Gupta, Dhanesh K.; Hadzipasic, Muhamed; Hajtovic, Sabastian; , Colin B. Harris,; Harrop, James S.; Heard, Jeremy C.; Hersh, Andrew M.; Hofstetter, Christoph; Horak, Holli A.; Hou, Brian Q.; Houshiemy, Mohamad Nabih El; Hussein, Amna; Hwang, Steven W.; Jamieson, Alysha; Jamshidi, Aria; Jea, Andrew; Judy, Brendan F.; K., Chaitanya Prabhu; Kawtharani, Sarah; Keister, Alexander; Kepler, Christopher K.; Khan, Asham; Kia, Cameron; Kim, Han Jo; Klineberg, Eric; Kwan, Kevin; Lavadi, Raj Swaroop; Le, Hai; Lee, Joon Y.; Lee, Yunsoo; Lenke, Lawrence G.; Letchuman, Vijay; Levi, Allan D.; Li, Anran; Lu, Yi; Maalouly, Joseph; Macki, Mohamed; Maghrabi, Yazid; Manzano, Glen R.; Marca, Frank La; Menezes, Cristiano Magalhães; Mitha, Alim P.; Molina, Camilo A.; Momin, Eric; Moussalem, Charbel; Noureldine, Mohammad Hassan A.; Orenday-Barraza, Jose Manuel; P., Murali Krishna; Park, Paul; Patel, Kamakshi; Patel, Karan S.; Pathinathan, Kalaventhan; Penumaka, Anirudh; Phillips, Frank M.; Phusoongnern, Woralux; Piazza, Martin G.; Pollina, John; Poonia, Dhiraj Kumar; Quiceno, Esteban; Quillo-Olvera, Javier; Quillo-Reséndiz, Javier; Rao, Prashanth J.; Rasouli, Jonathan J.; Rehman, Azeem A.; Robinson, Leslie; Ruiz-Cardozo, Miguel A.; Saifi, Comron; Saigal, Rajiv; Salomão Junior, Marlus Sérgio Borges; Samdani, Amer F.; Schroeder, Gregory D.; Schwartz, Theodore H.; Sedney, Cara; Shankar, Ganesh M.; Shaw, Jeremy D.; Shen, Yong; Shin, John H.; Singleton, Quante; Sivaganesan, Ahilan; Sivakanthan, Sananthan; Smith, Zachary A.; Soliman, Mohamed A. R.; Sorour, Omar; Steinberger, Jeremy; Stephens, Byron F.; Stephens, Mark; Stippler, Martina; Sunna, Tarek P.; Sykes, David A.W.; Tang, Melissa Yunting; Than, Khoi D.; Theodore, Nicholas; Tosi, Umberto; Unterberger, Ansley; Uschold, Timothy D.; Valdivia, Juan M.; Vaughan, Wilson E.; Head of Orthopedics; Head of Spine Surgery, Spine Surgery Group, Cajuru Hospital, Catholic University of Parana, Curitiba, Parana, Brazil, Emiliano Vialle,; Vignolles-Jeong, Joshua; Villeneuve, Lance; Viñuela-Prieto, Jose Manuel; Vivas, Andrew C.; Voort, Wyatt D. Vander; Waddell, W. Hunter; Wang, Michael Y.; Whaley, James D.; White, Alexandra J.; White, Michael D.; Wick, Joseph; Williamson, Theresa; Wolinsky, Jean-Paul; Xiong, Grace X.; Yahanda, Alexander T.; Yang, Michael J.; Yilgor, Caglar; Yucekul, Altug; Yuk, Frank J.; Zaidi, Hasan; Zhao, Xiaochun; Zhou, James J.

Title: Handbook of Spine Surgery

Print ISBN: 9781684205547; Online ISBN: 9781684206797; Book DOI: 10.1055/b000001054

3. Edition © 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Neurosurgery

Thieme Clinical Collections (English Language)



 
Jean-Valery Coumans

Summary

Cervical degenerative disease can be associated with disk herniations and stenosis. A subset of patients requires surgical intervention for persistent symptoms. A neurological examination combined with imaging is used to confirm the diagnosis. The choice of surgical approach is dictated by the location of the compression relative to the spinal cord, the extent of the stenosis, and the overall sagittal alignment.

Key words

cervical stenosis - cervical myelopathy - cervical laminectomy - ACDF - laminoplasty