Platysma sparing approach to anterior cervical spine surgery: A less exposure surgery technique.
prospective_cohort · Level II
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- Record sourced from PubMed, PMID 31660023.
- Also identified by DOI 10.1016/j.jor.2019.06.003 and PMC identifier 6807304.
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Abstract
Authors aim to demonstrate the surgical technique and outcomes of using a platysma sparing approach to anterior cervical spine surgery. Medical records of 496 prospective patients, group 1 (259 patients) with an outpatient platysma muscle-sparing approach. Group 2 (237 patients) with inpatient standard muscle-splitting approach. Intergroup comparison showed statistical significant improvement in VAS neck and NDI scores p = 0.009 and p = 0.012 and surgical operative time and estimated blood loss, p = 0.003 and p = 0.006 respectively. This anatomy sparing technique demonstrates a safe, effective and reproducible approach to cervical spine surgery which is a goal of less exposure surgery philosophy.
Anatomy
- cervical spine