Surgical Decompression in Vertebrogenic Myelopathy of Cervical Spine
59 patients were operated for stenosis of the vertebral canal in cervical spine with vertebrogenic and discogenic compression of the nerve roots or spinal cord. Spinal stenosis as a result of old vertebral injury was detected in 8 patients, in 1 — rheumatic destruction of the C3–C4, in the rest of patients it was due to osteochondrosis in its various manifestations. Among stenoses of degenerative origin we identified monosegmental — 16 patients, bisegmental — 24 patients and polysegmental — 10 patients. All patients underwent radiography of the cervical spine, 38 patients — CT and 28 — MRI. In monosegmental stenosis we have carried out discectomy, in bisegmental — corporectomy. In cases of polysegmental defeat we have carried out corporectomy at the level of 2 segments and discectomy at the adjacent level. Degree of anteroposterior spinal compression averaged 72 % (from 58 to 85.5 %). Positive results were observed in 92 % of patients in the gropu of monoand bisegmental compression and in 86 % — in the group of polysegmental compression.