Cervical Spine Deformity—Part 2: Management Algorithm and Anterior Techniques

• Published in: Neurosurgery Vol. 81; no. 4; pp. 561 - 567
• Main Authors: Tan, Lee A., Riew, K. Daniel, Traynelis, Vincent C.
• Format: Journal Article
• Language: English
• Published: United States Oxford University Press 01.10.2017; Copyright by the Congress of Neurological Surgeons; Wolters Kluwer Health, Inc
• Subjects: Algorithms; Bone surgery; Clinical outcomes; Disease Management; Diskectomy - methods; Female; Humans; Kyphosis - diagnostic imaging; Kyphosis - surgery; Magnetic resonance imaging; Male; Neurosurgery; Osteotomy - methods; Otolaryngology; Patients; Planning; Preoperative Care - methods; Spinal cord; Spinal Diseases - diagnostic imaging; Spinal Diseases - surgery; Spinal Fusion - methods; Surgeons; Surgical outcomes; Surgical techniques; Treatment Outcome; X-rays; Osteotomies; Smith-Petersen osteotomy; Total subaxial reconstruction; Anterior osteotomy; Cervical spine deformity; Cervical kyphosis; Cervical lordosis; Pedicle subtraction osteotomy; T1 slope; SVA
• ISSN: 0148-396X; 1524-4040; 1524-4040
• DOI: 10.1093/neuros/nyx388

Abstract A sound operative plan based on solid understanding of the pathology and biomechanics is the most important part of cervical deformity correction. Many different surgical options exist for operative management of cervical spine deformities. However, selecting the correct approach that ensures the optimal clinical outcome can be challenging and often controversial. In Part 2 of this three-part review series, we discuss the pre-operative planning, management algorithm, and anterior surgical techniques for cervical deformity correction.