{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T01:24:53Z","timestamp":1784165093264,"version":"3.55.0"},"reference-count":52,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                    <jats:title>Object<\/jats:title>\n                    <jats:p>Cervical spondylotic myelopathy (CSM) is a common cervical degenerative disease that affects the elderly population. Spinal cord decompression is achieved through various anterior and posterior approaches including anterior cervical decompression and fusion, laminectomy, laminoplasty, and combined approaches. The authors describe another option, minimally invasive endoscopically assisted decompression of stenosis (MEDS), which obviates the need for muscle dissection and disruption of the posterior tension band, a cause of postlaminectomy kyphosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors conducted a retrospective study of 10 patients with CSM who underwent MEDS from January 2002 through July 2012. Data were collected on demographics, preoperative and postoperative Nurick scores, postoperative Odom scores, and preoperative and postoperative Cobb angles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean patient age (\u00b1 SD) was 67 \u00b1 7.7 years; 8 patients were male. The average number of disc levels operated on was 2.2 (range 1\u20134). The mean Nurick score was 1.6 \u00b1 0.7 preoperatively and improved to 0.3 \u00b1 0.7 postoperatively (p &lt; 0.0005). The postoperative Odom scores indicated excellent outcomes for 4 patients, good for 3, fair for 2, and poor for 1. The average preoperative focal Cobb angle at the disc levels operated on was \u22120.43\u00ba \u00b1 1.9\u00ba. The average Cobb angle at the last follow-up visit was 0.25\u00b0 \u00b1 1.6\u00b0 (p = 0.6). The average follow-up time was 18.9 \u00b1 32.1 months. There were no intraoperative or postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For selected patients with CSM, whose pathologic changes are primarily posterior and who have acceptable preoperative lordosis, MEDS is an alternative to open laminectomy and laminoplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2013.3.focus135","type":"journal-article","created":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T09:58:16Z","timestamp":1372672696000},"page":"E8","source":"Crossref","is-referenced-by-count":38,"title":["Microendoscopic decompression for cervical spondylotic myelopathy"],"prefix":"10.3171","volume":"35","author":[{"given":"Nader S.","family":"Dahdaleh","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert P.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricky H.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandi K.","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard G.","family":"Fessler","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0350008","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1097\/BRS.0b013e318191438b","article-title":"A biomechanical evaluation of graded posterior element removal for treatment of lumbar stenosis: comparison of a minimally invasive approach with two standard laminectomy techniques","volume":"34","author":"Bresnahan","year":"2009"},{"key":"b2-0350008","article-title":"A comparison of acute hospital charges after tubular versus open microdiskectomy","author":"Cahill","year":"2012"},{"key":"b3-0350008","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/j.nec.2006.06.007","article-title":"The development of minimally invasive spine surgery","volume":"17","author":"Fessler","year":"2006"},{"key":"b4-0350008","series-title":"Orthop Clin North Am","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.ocl.2007.02.009","article-title":"Posterior minimally invasive approaches for the cervical spine","volume":"38","author":"Gala","year":"2007"},{"key":"b5-0350008","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1227\/NEU.0b013e31820777cf","article-title":"Comparative effectiveness of ventral vs dorsal surgery for cervical spondylotic myelopathy","volume":"68","author":"Ghogawala","year":"2011"},{"key":"b6-0350008","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"667","DOI":"10.3171\/2009.7.SPINE08656","article-title":"Effective lordosis: analysis of sagittal spinal canal alignment in cervical spondylotic myelopathy. 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