Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Spine (Phila Pa 1976). 2012 Mar 1;37(5):E297-302. doi: 10.1097/BRS.0b013e318239ccd8.
Review of surgical technique.
To provide accounts of the authors' preferred methods for performing anterior cervical surgery with personal tips and pearls.
Many have described the various anterior surgical approaches to the cervical spine, and in this review, we hope to describe our preferences, highlighted with some tips and pearls.
Various accounts of the transoral, the anterolateral (Smith-Robinson), and the split manubrium approaches were reviewed and used as the basis of the review. Additional notes with regard to the authors' preferences were noted to provide further guidance. The descriptions were delineated from the most cephalad to the most caudal.
The transoral, the anterolateral (Smith-Robinson), and the manubriotomy approaches were described. Each account starts with the basic preoperative considerations, then describes the incision and the main anatomical landmarks, and finally concludes with closure and main complications to monitor for. A brief description of the main pathologies that each approach may address is also provided.
The 3 anterior approaches to the cervical spine are direct and elegant solutions to pathologies arising from the anterior column. They supplement the more commonly used posterior approaches, which provide stronger multilevel fixation, and thus provide an essential tool in the armamentarium of spine surgeons.
手术技术回顾。
提供作者进行前路颈椎手术的首选方法，并分享一些技巧和经验。
许多人已经描述了颈椎前路的各种手术入路，在本次回顾中，我们希望描述我们的偏好，并突出一些技巧和经验。
回顾了经口、前外侧（Smith-Robinson）和胸骨柄劈开入路，并以此为基础进行了综述。为了提供进一步的指导，还记录了作者偏好的其他注意事项。描述从最头端到最尾端进行。
描述了经口、前外侧（Smith-Robinson）和胸骨柄劈开入路。每个入路都从基本的术前考虑开始，然后描述切口和主要解剖标志，最后总结关闭和主要并发症的监测。还简要介绍了每种入路可能解决的主要病变。
颈椎前路的 3 种入路是治疗前柱病变的直接而优雅的方法。它们补充了更常用的后路入路，后路入路提供更强的多节段固定，因此是脊柱外科医生器械库中的重要工具。
