scoring seven or more must be repaired by an anterior approach with vertebrectomy and strut grafting. This classification has been validated both clinically and biomechanically. 18 - 21 Some authors suggest using both the AO-Magerl and load
G. Vilà-Canet, A. García de Frutos, A. Covaro, M.T. Ubierna, and E. Caceres
Paulo Diogo Cunha, Tiago P Barbosa, Guilherme Correia, Rafaela Silva, Nuno Cruz Oliveira, Pedro Varanda, and Bruno Direito-Santos
) The supine or dorsal decubitus position is easily achievable and offers good exposure to the anterior aspect of the neck, allowing access to the anterior cervical spine. The anterior approach of the cervical spine is used to perform anterior
Junbo He, Tingkui Wu, Chen Ding, Beiyu Wang, Ying Hong, and Hao Liu
top 100 cited articles on anterior cervical surgery Rank Title First author Total citations Citations per year Level of evidence 1 The anterior approach removal of ruptured cervical disks Cloward, RB 1197 19.0 IV
Andreas F. Mavrogenis, Panayiotis D. Megaloikonomos, Vasileios G. Igoumenou, Georgios N. Panagopoulos, Efthymia Giannitsioti, Antonios Papadopoulos, and Panayiotis J. Papagelopoulos
instrumentation tailored to the characteristics of each patient and the individual surgeon’s preference. 7 Because spinal infections commonly involve the vertebral body, an anterior surgical approach decompression and debridement via an anterior approach
Rory D. S. Gibson, Ralf Wagner, and J. N. Alastair Gibson
complications than the anterior approaches (although the latter were reduced with thoracoscopy), but were more liable to inadequate decompression. Whether there are any long-term consequences of smaller yet better-visualized areas of decompression with full
Alpaslan Senkoylu and Mehmet Cetinkaya
anterior approaches for thoracic scoliosis correction. 1 Fig. 3 Operative photographs showing the use of the cantilever manoeuvre typically for the correction of kyphosis. a) The photograph shows the upper and lower pedicle screw foundations. b
Alpaslan Senkoylu, Rolf B. Riise, Emre Acaroglu, and Ilkka Helenius
carried out using an anterior approach (thoracoscopic, mini-open or open surgery). Each vertebral body is instrumented with a single typically bicortical screw and between the screws a cable is tightened. Correction of the deformity will occur during the
Scott D. Middleton, Ralf Wagner, and J. N. Alastair Gibson
-analysis . CMAJ Open 2014 ; 2 : E295 - E305 . 12 Fraser JF , Härtl R . Anterior approaches to fusion of the cervical spine: a metaanalysis of fusion rates . J Neurosurg Spine 2007 ; 6 : 298 - 303 . 13 Cho SK
Mirza Biscevic, Aida Sehic, and Ferid Krupic
being used, SSEPs may be sufficient, but anterior approaches most likely warrant transcranial MEPs due to the risk of anterior spinal artery syndrome. In cases in which nerve root deficits are of concern, spontaneous EMG and triggered EMG monitoring may
Wen-xi Sun, Hao-nan Liu, Meng-tong Chen, Yong-peng Lin, Hong-shen Wang, and Bo-lai Chen
decompression. TLIF is more popular than posterior lumbar interbody fusion (PLIF) due to less nerve traction ( 4 ). Oblique lateral interbody fusion (OLIF) uses an anterior approach to the extraperitoneal psoas major muscle and performs intervertebral fusion