Anterior Transpedicular Screw Technique for Failed Anterior Cervical Internal Fixation in Revision Surgery: a Case Report

Introduction Anterior cervical corpectomy and fusion (ACDF) is a widely used surgical approach for cervical diseases such as cervical trauma, spondylosis, tumor, deformity and degenerative spondylolisthesis. Although successful in achieving good outcomes, drawbacks to the anterior approach include screw and plate loosening, development of pseudarthrosis and lack of bioabsorbability. Zdeblick et al. reported excellent results can be achieved with repeat anterior decompression and autogenous bone-grafting. Wang et al. perform laminoplasty for failed anterior cervical spine surgery. To our knowledge, a cervical anterior transpedicular screw (ATPS) technique has not been used for revision surgery for failed anterior cervical internal fixation.

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