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Related Experiment Video

Updated: Dec 6, 2025

Anterior Cervical Discectomy and Fusion in the Ovine Model
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Anterior Reconstruction Techniques for Cervical Spine Deformity.

Murray Echt1,2, Christopher Mikhail1, Steven J Girdler1

  • 1Department of Orthopedics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Neurospine
|October 6, 2020
PubMed
Summary

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Anterior reconstruction techniques for cervical spine deformity offer varied correction potential. Careful planning and understanding patient anatomy are crucial for successful surgical outcomes and preventing complications.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Cervical spine deformity is a rare but debilitating condition with diverse presentations.
  • Anterior reconstruction techniques are commonly used for spinal realignment in both sagittal and coronal planes.

Purpose of the Study:

  • To review anterior reconstruction techniques for cervical spine deformity.
  • To highlight the importance of preoperative planning and anatomical understanding for surgical success.

Main Methods:

  • Discussion of anterior cervical discectomy and fusion for multi-level correction.
  • Analysis of corpectomy and hybrid discectomy-corpectomy constructs for deformity correction and decompression.
  • Evaluation of anterior cervical osteotomy with uncinectomy for angular correction, particularly in midcervical kyphosis.
Keywords:
Anterior cervical corpectomyAnterior cervical discectomyAnterior cervical osteotomyAnterior cervical reconstructionCervical spine deformityVertebral column resection

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Main Results:

  • Anterior cervical discectomy and fusion can achieve cumulative correction of approximately 6° per level.
  • Corpectomy allows for sagittal deformity correction and spinal canal decompression.
  • Hybrid constructs are preferred over multilevel corpectomies when possible.
  • Anterior cervical osteotomy is effective for angular correction in fixed cervical kyphosis.

Conclusions:

  • Meticulous preoperative planning is essential for improving neurologic outcomes and achieving spinal harmony.
  • Successful anterior-only reconstruction depends on contralateral column mobility or a combined approach.
  • Detailed anatomical knowledge, proper positioning, and minimizing retraction time are key to preventing surgical complications.