Seminars in Spine Surgery
Volume 18, Issue 4 , Pages 219-224, December 2006

Revision Anterior Cervical Decompression and Fusion

  • Steven C. Scherping Jr, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Steven C. Scherping, Jr, MD, Department of Orthopaedic Surgery, Georgetown University Medical Center, 3800 Reservoir Road NW, 1-Gorman, Washington, DC 20007.

Department of Orthopaedic Surgery, Georgetown University Medical Center, Washington, DC.

This article serves to review the role of a revision anterior cervical decompression and fusion, excluding that performed for adjacent level disease. Proper patient selection and preoperative workup of recurrent and superior laryngeal nerve function are essential ingredients to clinical success. In most instances, computed tomography-myelography is the imaging modality of choice as residual stenosis from ossified posterior longitudinal ligament or osteophyte formation is most amenable to revision surgery. Clinical success, however, is contingent on proper patient selection.

Keywords: cervical spine, cervical stenosis, revision surgery, recurrent laryngeal nerve, dysphagia

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PII: S1040-7383(06)00067-0

doi:10.1053/j.semss.2006.09.002

Seminars in Spine Surgery
Volume 18, Issue 4 , Pages 219-224, December 2006