Anterior reconstruction techniques for cervical spine deformity

Murray Echt, Christopher Mikhail, Steven J. Girdler, Samuel K. Cho

Research output: Contribution to journalArticlepeer-review


Cervical spine deformity is an uncommon yet severely debilitating condition marked by its heterogeneity. Anterior reconstruction techniques represent a familiar approach with a range of invasiveness and correction potential—including global or focal realignment in the sagittal and coronal planes. Meticulous preoperative planning is required to improve or prevent neurologic deterioration and obtain satisfactory global spinal harmony. The ability to per-form anterior only reconstruction requires mobility of the opposite column to achieve cor-rection, unless a combined approach is planned. Anterior cervical discectomy and fusion has limited focal correction, but when applied over multiple levels there is a cumulative effect with a correction of approximately 6° per level. Partial or complete corpectomy has the ability to correct sagittal deformity as well as decompress the spinal canal when there is anterior compression behind the vertebral body. If pathoanatomy permits, a hybrid discecto-my-corpectomy construct is favored over multilevel corpectomies. The anterior cervical os-teotomy with bilateral complete uncinectomy may be necessary for angular correction of fixed cervical kyphosis, and is particularly useful in the midcervical spine. A detailed understanding of the patient’s local anatomy, careful attention to positioning, and avoiding long periods of retraction time will help prevent complications and iatrogenic injury.

Original languageEnglish
Pages (from-to)534-542
Number of pages9
Issue number3
StatePublished - Sep 2020


  • Anterior cervical corpectomy
  • Anterior cervical discectomy
  • Anterior cervical osteotomy
  • Anterior cervical reconstruction
  • Cervical spine deformity
  • Vertebral column resection


Dive into the research topics of 'Anterior reconstruction techniques for cervical spine deformity'. Together they form a unique fingerprint.

Cite this