Abstract
In most cases of degenerative diseases of the cervical spine, the neural structures are compressed from anterior; thus, the anterior approach is the mainly used surgical approach to the cervical spine. The posterior approach is suitable for findings with ligamentous hypertrophy and space-occupying facet joint arthrosis as well as for elderly patients with spontaneous bony fusion in the intervertebral spaces where as lordosis is an essential precondition for this approach. Combined approaches are indicated in cases of corpectomy of two or more vertebral bodies and generally in cases with reduced bone quality due to a metabolic diseases such as osteoporosis, diabetes mellitus or renal failure.
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König, A., Spetzger, U. (2017). Choice of Surgical Approach. In: Degenerative Diseases of the Cervical Spine. Springer, Cham. https://doi.org/10.1007/978-3-319-47298-0_6
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DOI: https://doi.org/10.1007/978-3-319-47298-0_6
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