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European Spine Journal

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01-02-2018 | Original Article

Anterior cervical osteotomy: operative technique

Authors: Lee A. Tan, K. Daniel Riew

Published in: European Spine Journal | Special Issue 1/2018

Abstract

Purpose

Correction of rigid cervical deformities often requires osteotomies to realign the spine. Cervical pedicle subtraction osteotomy can be technically challenging due to the presence of cervical nerve roots and usually can only be performed at C7 or T1 due to the presence of vertebral arteries. In contrast, anterior cervical osteotomy can be performed throughout the cervical spine and is a safe and effective method for correction of both sagittal and coronal cervical deformities. We describe the anterior cervical osteotomy technique with a review of the pertinent literature.

Methods

A step-by-step technical guide for anterior cervical osteotomy is provided with a focus on surgical nuances and complication avoidance. Two illustrative cases of fixed sagittal and coronal deformities are included to demonstrate the substantial amount of deformity correction achievable using the anterior cervical osteotomy technique.

Results

Both patients in the illustrative cases had successful clinical and radiographic outcome following deformity correction utilizing the anterior cervical osteotomy technique.

Conclusion

Anterior cervical osteotomy is a safe and effective technique for correction of rigid cervical deformities. Spine surgeons should be familiar with this technique to optimize clinical outcome in patients undergoing cervical deformity correction.

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Kandasamy R, Abdullah JM (2016) Cervical spine deformity correction: an overview. World Neurosurg 91:640–641. doi:10.1016/j.wneu.2016.04.109 CrossRefPubMed

Nemani VM, Derman PB, Kim HJ (2016) Osteotomies in the cervical spine. Asian Spine J 10:184–195. doi:10.4184/asj.2016.10.1.184 CrossRefPubMedPubMedCentral

Smith JS, Shaffrey CI, Lafage R et al (2017) Three-column osteotomy for correction of cervical and cervicothoracic deformities: alignment changes and early complications in a multicenter prospective series of 23 patients. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. doi:10.1007/s00586-017-5071-1

Kim HJ, Piyaskulkaew C, Riew KD (2015) Comparison of Smith–Petersen osteotomy versus pedicle subtraction osteotomy versus anterior-posterior osteotomy types for the correction of cervical spine deformities. Spine 40:143–146. doi:10.1097/BRS.0000000000000707 CrossRefPubMed

Title: Anterior cervical osteotomy: operative technique
Authors: Lee A. Tan
K. Daniel Riew
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 1/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5163-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Anterior cervical osteotomy: operative technique

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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