Anatomic considerations of the anterior upper cervical spine during decompression and instrumentation: A cadaveric based study

Salman Abbasi Fard, Apar S. Patel, Mauricio J. Avila, Kamran V. Sattarov, Christina M. Walter, Jesse Skoch, Mhd-Ali - Baaj

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We evaluated the anatomical considerations specific to the high anterior retropharyngeal approach to the cervical spine. Surgical exposure of the anterior upper cervical spine can sometimes be challenging due to the surrounding neurovascular structures. Using three adult cadavers, we performed high anterior retropharyngeal cervical dissection of the left and right side for a total of six approaches (six sides). During the dissection, all important neurovascular elements were noted and photographed, and anatomical relationships to the spinal vertebral bodies and disc spaces were analyzed. There are certain anatomic considerations that are unique to the high anterior cervical spine. The unique structures include the hypoglossal nerve and the superior thyroid artery/nerve. Only the superior thyroid artery in this region has numerous anatomical variations. Awareness of other structures, including the carotid artery, recurrent laryngeal nerve, and esophagus also remains important. Awareness of the anatomical structures in the anterior upper cervical spine is essential for performing safe anterior upper cervical spinal surgery, avoiding serious complications.

Original languageEnglish (US)
Pages (from-to)1810-1815
Number of pages6
JournalJournal of Clinical Neuroscience
Volume22
Issue number11
DOIs
StatePublished - Nov 1 2015

Fingerprint

Decompression
Spine
Dissection
Thyroid Gland
Arteries
Hypoglossal Nerve
Recurrent Laryngeal Nerve
Carotid Arteries
Cadaver
Esophagus

Keywords

  • Anatomy
  • Cadaveric study
  • Neck
  • Retropharyngeal approach
  • Upper cervical spine

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

Cite this

Anatomic considerations of the anterior upper cervical spine during decompression and instrumentation : A cadaveric based study. / Fard, Salman Abbasi; Patel, Apar S.; Avila, Mauricio J.; Sattarov, Kamran V.; Walter, Christina M.; Skoch, Jesse; Baaj, Mhd-Ali -.

In: Journal of Clinical Neuroscience, Vol. 22, No. 11, 01.11.2015, p. 1810-1815.

Research output: Contribution to journalArticle

Fard, Salman Abbasi ; Patel, Apar S. ; Avila, Mauricio J. ; Sattarov, Kamran V. ; Walter, Christina M. ; Skoch, Jesse ; Baaj, Mhd-Ali -. / Anatomic considerations of the anterior upper cervical spine during decompression and instrumentation : A cadaveric based study. In: Journal of Clinical Neuroscience. 2015 ; Vol. 22, No. 11. pp. 1810-1815.
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