Cervical myelopathy: Posterior decompression and fusion

Posterior cervical decompression and fusion with instrumentation is a well-proven surgical option for patients with multilevel cervical spondylotic myelopathy with or without radiculopathy. With appropriate preoperative workup and patient selection, the majority of patients with cervical spondylotic processes achieve good or excellent results with posterior decompression and fusion surgery. Posterior decompression and fusion techniques are technically demanding operations that should be performed by surgeons who are familiar with the appropriate techniques and possible complications.