Stenosis of the Cervical Spine : Causes, Diagnosis and Treatment

Professor Vincenzo Denaro has been an active member of the Institute of Clinical Orthopedics and Traumatology of the University of Catania since 1986. It has been my pleasure, as Director, to be associated with Professor Denaro, first as a Sessional Consultant in diseases of the spine and finally, after his promotion to the permanent staff, as Associate Professor. Professor Denaro began his postgraduate program of spe­ cialization, and hence his career, in the Orthopedic Clinic of the University of Pavia under the tutorship of Professor Mario Boni. It was the latter who directed and guided his develop­ ment in studying the disease processes of the vertebral column. In his pursuit of knowledge, he undertook additional studies in foreign clinics, including the Wellesley Hospital at the Uni­ versity of Toronto with Professor 1. MacNab and Professor V. F ornasier. He spent a full year at the Orthopedic Clinic of the University of Paris under the guidance of Professor Roy­ Camille. He derived great benefit from the clinical experience gained there and became acquainted with advanced and spe­ cialized surgical techniques specific to his field of interest. More recently, since accepting his current appointment, he has been able to put into practice the expertise developed over 20 years of study and research. Not only does he have extensive personal clinical experience, but he very wisely undertook to maintain a thorough, complete, and accurate record of the experience gathered from his case load. Front Matter....Pages I-XV Introduction....Pages 1-3 Classification of Stenoses....Pages 5-28 Anatomy and Anatomical Pathology....Pages 29-42 Biomechanics of Spondylotic Cervical Myelopathy....Pages 43-50 Imaging....Pages 51-61 Clinical Aspects of Cervical Stenosis....Pages 63-70 Neurophysiological Studies in Cervical Stenosis....Pages 71-80 Surgical Approaches....Pages 81-138 Surgical Techniques....Pages 139-289 Causes of Poor Results....Pages 291-295 Conclusion....Pages 297-299 Back Matter....Pages 301-303 Concerned primarily with surgery and pathology of stenosis of the cervical spine, this text considers principles of stenosis, anatomy, biomechanics and imaging of the cervical spine. Detailed descriptions of various surgical techniques explaining the different technical methods are provided.