Anterior Reconstruction with Microvascular Grafts



The purpose of this chapter is to describe the cervical approach from C2 to T1 and the surgical technique to perform a safe corporectomy and fusion.

It includes details from patient positioning to surgical tips and pitfalls for every step.

Indications include degenerative pathologies such as cervical myelopathy, cervical radiculopathy, and cervical herniated disc and also specific types of cervical trauma, tumor, and infection. This technique is safe and allows various types of corporectomy, from partial to multilevel corporectomy.

Supplementary material

978-3-319-93432-7_55_MOESM1_ESM.pptx (5.5 mb)
Data 55.1 CSRS Book_E-Tia. Andres (PPTX 5605 kb)


  1. 1.
    Lee MJ, Ondra SL, Mindea SA, Fine NA, Dumanian G. Indications and rationale for use of vascularized fibula bone flaps in cervical spine arthrodesis. Plast Reconstr Surg. 2005;116:1–7.CrossRefGoogle Scholar
  2. 2.
    Krishnan KG, Muller A. Ventral cervical fusion at multiple levels using free vascularized double-islanded fibula-a technical report and review of the relevant literature. Eur Spine J. 2002;11:176–82.CrossRefGoogle Scholar
  3. 3.
    Rodriguez-Lorenzo A, Mani MR, Thor A, Gudjonsson O, Marklund N, Olerud C, Ekberg T. Fibula osteo-adipofascial flap for reconstruction of a cervical spine and posterior pharyngeal wall defect. Microsurgery. 2014;34(4):314–8.CrossRefGoogle Scholar
  4. 4.
    Hanwright PJ, Purnell CA, Dumanian GA. Flap reconstruction for esophageal perforation complicating anterior cervical spinal fusion: an 18-year experience. Plast Reconstr Surg Glob Open. 2015;3:e400.CrossRefGoogle Scholar
  5. 5.
    Reid RR, Dutra J, Conley DB, et al. Improved repair of cervical esophageal fistula complicating anterior spinal fusion: free omental flap compared with pectoralis major flap. Report of four cases. J Neurosurg. 2004;100(1 Suppl Spine):66–70.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Plastic and Maxillofacial Surgery and Department of Surgical SciencesUppsala University Hospital and Uppsala UniversityUppsalaSweden

Personalised recommendations