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Platysma sparing approach to anterior cervical spine surgery: A less exposure surgery technique
Kingsley R Chin1,2,3,4, Fabio J R Pencle3,5, Amala Benny5
1Herbert Wertheim College of Medicine, Florida International University, USA.
Introduction:
Authors aim to demonstrate the surgical technique and outcomes of using a platysma sparing approach to anterior cervical spine surgery.
Methods:
Medical records of 496 prospective patients, group 1 (259 patients) with an outpatient platysma muscle-sparing approach. Group 2 (237 patients) with inpatient standard muscle-splitting approach.
Results:
Intergroup comparison showed statistical significant improvement in VAS neck and NDI scores p = 0.009 and p = 0.012 and surgical operative time and estimated blood loss, p = 0.003 and p = 0.006 respectively.
Conclusion:
This anatomy sparing technique demonstrates a safe, effective and reproducible approach to cervical spine surgery which is a goal of less exposure surgery philosophy.
