[Current understanding of intervertebral space height in anterior cervical fusion]

Zhongguo Gu Shang. 2022 Aug 25;35(8):799-804. doi: 10.12200/j.issn.1003-0034.2022.08.018.
[Article in Chinese]

Abstract

Anterior cervical fusion surgery is the first choice for spine surgeons in the treatment of cervical spine diseases. It has significant effects in treating cervical degenerative diseases, trauma and tumors and other cervical diseases. In anterior cervical fusion, it is necessary to use a distractor to properly distract the intervertebral space, so as to fully expose and relieve the compressive factors, restore the physiological height, curvature and stability of the lesion segment, and achieve the best surgical effect. However, there is currently no consensus on the standard distraction height for the intervertebral space during anterior cervical surgery. This article reviewsed the progress of intervertebral space height in anterior cervical fusion from three dimensions:the relationship between intervertebral space height and cervical disc degeneration mechanism, the selection of intervertebral space height during operation, the recovery of intervertebral space height and the postoperative effect, so as to provide theoretical basis and reference for spinal surgeons when performing intervertebral distraction during operation.

Keywords: Cervical vertebrae; Intervertebral space height; Review; Spinal fusion.

MeSH terms

  • Cervical Vertebrae / pathology
  • Cervical Vertebrae / surgery
  • Humans
  • Intervertebral Disc Degeneration*
  • Intervertebral Disc* / surgery
  • Neck
  • Spinal Fusion*
  • Treatment Outcome