Abstract
Cervical spondyloticmyelopathy(CSM)isthe primarycause of spinal cord dysfunction in adult patients, and is due to a heterogeneous spectrum of etiologies, from degenerative disk disease to ossification of the posterior longitudinal ligament (OPLL). Due to the prevalence of CSM, surgical procedures addressing this pathology comprise a significant proportion of all spinal operations performed worldwide. Recent debate has centered around the superiority of anterior versus posterior approaches in the effectiveness of treating CSM and the risk of complications each confers. Controversy still exists as to the best procedure; however, the diversity of etiologies likely excludes a solitary optimal approach. The technical considerations, as well as the differential anatomy involved with each approach, contribute to potential complications. There is a wide variance in the literature regardingtheincidenceanddistributionofcomplicationsassociated
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