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Related Concept Videos

Articulations of the Vertebral Column01:28

Articulations of the Vertebral Column

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In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
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Anterior cervical osteotomy for fixed cervical deformities.

Han Jo Kim1, Chaiwat Piyaskulkaew, K Daniel Riew

  • 1*Department of Orthopaedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, New York, NY †Department of Medical Services, Institute of Orthopaedics, Lerdsin General Hospital, Ministry of Public Health, Nonthaburi, Thailand; and ‡Departments of Orthopaedic Surgery, Neurological Surgery, and Cervical Spine Surgery, Washington University Orthopedics, Washington University in St. Louis, St. Louis, MO.

Spine
|July 2, 2014
PubMed
Summary

This study demonstrates that anterior cervical osteotomy is a safe and effective surgical technique for correcting fixed cervical spine deformities. Combining it with Smith-Petersen osteotomies can enhance correction, leading to improved patient outcomes.

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Area of Science:

  • Spine surgery
  • Orthopedics
  • Neurosurgery

Background:

  • Posteriorly based osteotomies for cervical spine deformities are documented.
  • Anterior cervical osteotomy techniques for fixed cervical deformities have not been previously reported.

Purpose of the Study:

  • To describe the surgical management of fixed cervical deformities using an anterior osteotomy of the cervical spine.
  • To present a single surgeon's technique and experience with anterior cervical osteotomy.

Main Methods:

  • A case series of 38 patients undergoing anterior cervical osteotomy between 2000 and 2010.
  • Patients were divided into two groups: anterior osteotomy alone (Group 1) and anterior osteotomy with Smith-Petersen osteotomies (Group 2).
  • Demographics, operative details, and clinical/radiographical outcomes were analyzed.

Main Results:

  • Group 1 (anterior osteotomy only) had shorter surgery duration and less blood loss compared to Group 2 (anterior osteotomy with Smith-Petersen osteotomies).
  • Group 2 achieved greater angular and translational correction, though angular correction was not statistically significant.
  • Both groups showed significant improvement in the Neck Disability Index, with no neurological complications reported.

Conclusions:

  • Anterior cervical osteotomy is a safe and effective procedure for correcting fixed cervical deformities.
  • The addition of Smith-Petersen osteotomies can improve corrective outcomes when necessary.