European Spine Journal

, Volume 22, Issue 12, pp 2907–2909 | Cite as

C4 anterior cervical corpectomy with fusion for cervical spondylotic myelopathy

  • Ibrahim ObeidEmail author
  • Louis Boissière
  • Jean-Marc Vital
Open Operating Theatre (OOT)

Learning targets

  • Learn the anterior Smith–Robinson approach of the cervical spine.

  • Learn the technique of cervical corpectomy and anterior spinal cord decompression.

  • Understand the importance of posterior longitudinal ligament resection to achieve a good decompression.

  • Learn anterior cervical spine reconstruction and instrumentation with cage and plate.


Cervical spondylotic myelopathy (CSM) is a common cause of spinal cord compression especially in the elderly. When neurological symptoms appear without sustained remission an operative management can be proposed to treat CSM. Goals of surgical treatment are spinal cord decompression, deformity prevention, and pain alleviation [1]. Many surgical techniques have been described which can employ an anterior, posterior, or circumferential approach. Designing the most effective surgical plan is dependent on numerous factors, including the location of the compressive pathology, stability of the spinal column, extent of the...


Cervical spondylotic myelopathy Cervical spine anterior approach Anterior cervical spine corpectomy Anterior spine fusion 


Conflict of interest

None of the authors has any potential conflict of interest.

Supplementary material

Supplementary material 1 (WMV 265175 kb)


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Ibrahim Obeid
    • 1
    Email author
  • Louis Boissière
    • 1
  • Jean-Marc Vital
    • 1
  1. 1.Bordeaux University HospitalBordeauxFrance

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