ABSTRACT
I INTRODUCTION The purpose of this chapter is to describe the indications, techniques, and results of anterior decompression and fusion in the management of cervical spine trauma. The anterior approach to the cervical spine has become widely accepted for the treatment of degenerative conditions, including radiculopathy and myelopathy (1). Using this approach, disk and bone that compress the spinal cord may be safely removed. Many traumatic injuries to the cervical spine also result in damage to the intervertebral disk and/or vertebral body. For such patients, the anterior approach provides a safe and effective direct route to achieving the goals of decompression of neural tissue and stabilization of the spine. It provides the best access to anterior pathology, allows for restoration of anterior column support, and provides stability in the setting of intact posterior structures.
