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Anterior Subaxial Cervical Approach

  • George N. Rymarczuk
  • Courtney Pendleton
  • James S. Harrop
Chapter

Abstract

There are a wide variety of disorders that can affect the subaxial cervical spine. Neoplasms are one such disorder: they may be either primary lesions or metastases and range from the histologically benign to the malignant. There has been significant increase of the knowledge and categorization/classification of these tumors and how they affect the spine. Several applicable treatment algorithms that can be tailored to each individual patient have been developed.

Treatment of neoplasms of the subaxial cervical spine often requires a multifaceted approach, incorporating the input of spinal surgeons, medical oncologists, and radiation oncologists, as well as other subspecialists such as plastic surgeons, neuro-interventionalists, and rehabilitation therapists. Ever-advancing image-guided radiotherapy techniques, as well as advances in chemotherapy treatments, are rapidly changing the manner in which these lesions are treated, limiting morbidity while maintaining the similar palliative effect of aggressive resection. Nonetheless, surgery still plays a significant role in the treatment of neoplastic disease of the subaxial cervical spine.

Keywords

Subaxial cervical spine Anterior cervical approach Spine Oncology Study Group SINS Criteria NOMS Framework 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • George N. Rymarczuk
    • 1
  • Courtney Pendleton
    • 1
  • James S. Harrop
    • 1
  1. 1.Department of Neurological Surgery, Thomas Jefferson University HospitalPhiladelphiaUSA

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