Anterior Cervical Corpectomy and Fusion


The authors would like to thank Carmina F. Angeles for work on the previous edition’s version of this chapter.

Indications

  • Correction of cervical kyphotic deformity to restore lordotic alignment.

  • Decompression of the cervical spinal cord in degenerative spondylotic myelopathy.

  • Excision of ossified posterior longitudinal ligament (PLL) that often bridges past disk spaces and cannot be adequately removed with diskectomies alone.

  • Treatment of osteomyelitis that fails nonoperative management.

  • Resection and stabilization of vertebral body tumor.

  • Management of traumatic fractures of the subaxial spine, such as vertebral body burst fracture or as part of circumferential stabilization with fracture dislocations.

  • Facilitation of fusion in cases with multiple contiguous levels of cervical disk herniation—a mixture of diskectomies and a corpectomy can facilitate fusion by decreasing the total number of end plates through which fusion must occur.

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