Surgical treatment is considered for those patients with spinal instability or neurologic deficit from spondylosis, or in those patients who present with pain and have failed non-operative treatment. A variety of surgical techniques have been developed for the treatment of symptomatic cervical spondylosis. Many factors and considerations have to be taken into account to determine the type and extent of surgery required in a given case. Regardless of the specific factors, however, the principles of surgery for spondylosis are similar to those for the treatment of cervical trauma and other spinal disorders. These principles include neural decompression, reduction and stabilization. Utilizing these guidelines, surgical treatment alternatives can be planned for symptomatic spondylosis.
Neurological deficit for spondylosis results from compression of the nerve roots and/or spinal cord. The compression can be either static or dynamic. Neurological deficit constitutes a clear indication for surgery. Decompression is accomplished by removing the compres-sive pathology, expanding the channel through which the neural element is passing or by reduction of a deformity which is causing
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.