Advances in Cervical Spine Surgery: Techniques, Outcomes, and Innovations

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (1 March 2025) | Viewed by 2041

Special Issue Editor


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Guest Editor
Severance Hospital, College of Medicine, Yonsei University, Seodaemun-gu, Seoul, Republic of Korea
Interests: cervical spine; biomechanics; C5 palsy; subsidence; radiologic outcomes; freehand pedicle screw insertion technique
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Special Issue Information

Dear Colleagues,

We are delighted to invite contributions to our Special Issue, “Advances in Cervical Spine Surgery: Techniques, Outcomes, and Innovations”. The landscape of cervical spine surgery is evolving, encompassing biomechanical advancements alongside innovations in endoscopic techniques. This Special Issue aims to consolidate cutting-edge research and shed light on diverse aspects of cervical spine surgery, from traditional approaches to emerging endoscopic procedures. This Special Issue aims to explore the multifaceted aspects of cervical spine surgery and their implications in clinical practice. Aligned with the journal's scope, we seek original research articles and reviews that delve into surgical techniques, outcomes, and innovations. Topics of interest include but are not limited to, pedicle screws, anterior–posterior surgeries, preventive measures for complications, endoscopic approaches, and novel techniques such as preoperative computed tomography morphometric measurements. With a target of at least 10 high-quality contributions, this Special Issue aims to offer a comprehensive overview of the current state of research in cervical spine surgery. In this Special Issue, we welcome original research articles and reviews covering a broad spectrum of themes, including the following:

  • Surgical techniques in cervical spine surgery;
  • The outcomes of anterior–posterior surgeries;
  • Complication prevention in complex cervical spine surgeries;
  • Innovations in endoscopic cervical spine surgery;
  • Novel techniques in cervical pedicle screw insertion, laminoplasty, and high cervical surgery;
  • The impact of the screw angle in anterior cervical discectomy/fusion;
  • A comparison of posterior fixation combinations with an allograft spacer.

We look forward to receiving your contributions.

Prof. Byung Ho Lee
Guest Editor

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Keywords

  • cervical spine
  • C5 palsy
  • biomechanics
  • subsidence
  • radiologic outcome
  • freehand pedicle screw insertion technique

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Published Papers (1 paper)

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Research

12 pages, 11217 KiB  
Article
Shoulder Traction as a Possible Risk Factor for C5 Palsy in Anterior Cervical Surgery: A Cadaveric Study
by Ja-Yeong Yoon, Sung-Min Kim, Seong-Hwan Moon, Hak-Sun Kim, Kyung-Soo Suk, Si-Young Park, Ji-Won Kwon and Byung-Ho Lee
Medicina 2024, 60(9), 1429; https://doi.org/10.3390/medicina60091429 - 1 Sep 2024
Cited by 1 | Viewed by 1440
Abstract
Background and Objectives: Many risk factors for postoperative C5 palsy (PC5P) have been reported regarding a “cord shift” after a posterior approach. However, there are few reports about shoulder traction as a possible risk factor of anterior cervical surgery. Therefore, we assessed [...] Read more.
Background and Objectives: Many risk factors for postoperative C5 palsy (PC5P) have been reported regarding a “cord shift” after a posterior approach. However, there are few reports about shoulder traction as a possible risk factor of anterior cervical surgery. Therefore, we assessed the stretched nerve roots when shoulder traction was applied on cadavers. Materials and Methods: Eight cadavers were employed in this study, available based on age and the presence of foramen stenosis. After dissecting the sternocleidomastoid muscle of the cadaver, the shoulder joint was pulled with a force of 2, 5, 8, 10, 15, and 20 kg. Then, the stretched length of the fifth nerve root was measured in the extra-foraminal zone. In addition, the same measurement was performed after cutting the carotid artery to accurately identify the nerve root’s origin. After an additional dissection was performed so that the superior trunk of the brachial plexus could be seen, the stretched length of the fifth and sixth nerve roots was measured again. Results: Throughout the entire experiment, the fifth nerve root stretched out for an average of 1.94 mm at 8 kg and an average of 5.03 mm at a maximum force of 20 kg. In three experiments, the elongated lengths of the C5 nerve root at 8 kg and 20 kg were 1.69/4.38 mm, 2.13/5.00 mm, and 0.75/5.31 mm, respectively, and in the third experiment, the elongated length of the C6 nerve root was 1.88/5.44 mm. Conclusions: Although this was a cadaveric experiment, it suggests that shoulder traction could be the risk factors for PC5P after anterior cervical surgery. In addition, for patients with foraminal stenosis and central stenosis, the risk would be higher. Therefore, the surgeon should be aware of this, and the patient would need sufficient explanation. Full article
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