Indications for circumferential surgery for cervical spondylotic myelopathy

Background contextThe surgical management of patients with cervical spondylotic myelopathy (CSM) remains challenging.PurposeTo review the indications, techniques, and results of circumferential fusion for CSM.ConclusionCircumferential decompression and stabilization with instrumentation is a viable option to treat selected complex cervical spine disorders. It provides immediate stabilization of the spine, decreases anterior graft and instrumentation failure, and can obviate the need for postoperative halo immobilization.