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

Neurosurgery. 2017 Oct 1;81(4):561-567. 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.

Keywords: Anterior osteotomy; Cervical kyphosis; Cervical lordosis; Cervical spine deformity; Osteotomies; Pedicle subtraction osteotomy; SVA; Smith-Petersen osteotomy; T1 slope; Total subaxial reconstruction.

Publication types

  • Review

MeSH terms

  • Algorithms*
  • Disease Management*
  • Diskectomy / methods
  • Female
  • Humans
  • Kyphosis / diagnostic imaging
  • Kyphosis / surgery
  • Male
  • Osteotomy / methods
  • Preoperative Care / methods
  • Spinal Diseases / diagnostic imaging*
  • Spinal Diseases / surgery
  • Spinal Fusion / methods
  • Treatment Outcome