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Lateral Retropharyngeal Approach to the Upper Cervical Spine: Long-term Follow-up

  • D. M. Nguyen
  • T. E. Whitesides
  • F. C. Thompson
Conference paper

Abstract

Whitesides [6] first reported a lateral retropharyngeal approach to the upper cervical spine in 1966. The classic Robinson and Smith approach [5], medial to the carotid sheath, allows anterior exposure to C3 only. The approach can be extended proximally to allow access to the occipitocervical region. However, the surgical exposure is very limited, and injury to the laryngeal nerve may result [3]. Transoral and transpharyngeal approaches are also possible but are fraught with high morbidity and mortality [1, 4, 5]. This paper reports long-term follow-up of the Whitesides approach to the upper cervical spine.

Keywords

Cervical Spine Vertebral Artery Giant Cell Tumor Carotid Sheath Direct Anterior Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Fang HSY, Ong GB (1962) Direct anterior approach to the upper cervical spine. J Bone Joint Surg 44A: 1588–1604Google Scholar
  2. 2.
    Henry AK (1982) The vertebral artery. In: Henry AK (ed) Extensile exposure, 2nd edn. Churchill-Livingstone, Edinburgh London New York, pp 58–73Google Scholar
  3. 3.
    Johnson RM, Southwick WO (1982) Anterior cervical approaches. In: Rothman RH, Simeone FA (eds) The spine, 2nd edn. WB Saunders Company, Philadelphia, pp 106Google Scholar
  4. 4.
    McAffee PC, Bohlman HH, Riley LH, Robinson RA, Southwick WO, Nachlas NE (1987) The anterior retropharyngeal approach to the upper part of the cervical spine. J Bone Joint Surg 69A: 1371–1383Google Scholar
  5. 5.
    Southwick WO, Robinson RA (1957) Surgical approaches to the vertebral bodies in the cervical and lumbar regions. J Bone Joint Surg 39A: 631–644PubMedGoogle Scholar
  6. 6.
    Whitesides TE, Kelley RP (1966) Lateral approach to the upper cervical spine for anterior fusion. South Med J 59: 849–853CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • D. M. Nguyen
    • 1
  • T. E. Whitesides
    • 1
  • F. C. Thompson
    • 1
  1. 1.AtlantaUSA

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