ArticleNeurosurgery practice2026
Multi-Level Uncinatectomies and Posterior Column Osteotomies to Correct a Cervical Kyphotic Deformity: Case Instruction With Intraoperative Picture and Video.
Article in Neurosurgery practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and importanceCervical deformity is a debilitating pathology that can result from trauma, infection, tumor, or previous surgery. The authors sought to provide a technical and visual description of an anterior-posterior fusion to correct a fixed cervical kyphotic deformity with multi-level anterior uncinatectomies and posterior column osteotomies (PCOs). CLINICAL PRESENTATION: A 71-year-old man with a history of diffuse idiopathic skeletal hyperostosis and a prior C5/6 fracture resulting in a fixed kyphotic deformity presented with severe mechanical neck pain and inability to maintain a horizontal gaze. Imaging revealed a kyphotic compression fracture at C6, with significant kyphosis from C5-T1, anterior/posterior ossification, and multiple level autofusion. The patient underwent a combined anterior-posterior procedure, starting with C4/5, C5/6, and C7/T1 anterior cervical discectomy and fusions with uncinatectomies, facilitating spinal realignment. The posterior approach included C2-T4 instrumented fusion and C2-T1 PCOs. The combined strategy achieved significant sagittal correction, restoring cervical lordosis and sagittal balance. At 1-year follow-up, the patient maintained improved alignment without neurologic deficits.
conclusionA fixed cervical kyphotic deformity presents significant surgical challenges. We hereby provide a step-by-step description of the anterior-posterior approach with multi-level anterior uncinatectomies and PCOs to correct a fixed cervical kyphotic deformity in a patient with remote fractures and diffuse idiopathic skeletal hyperostosis. We described surgical nuances and key steps to achieve a safe and adequate deformity correction.
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