[Anterior Cervical Decompression and Fusion:Surgical Concept of Anterior Decompression and Selection of Internal Fixation Devices].

Anterior cervical fixation is an excellent surgical technique for the removal of anterior compressive elements affecting the spinal cord and nerve roots while addressing cervical instability. However, it is important to recognize the unique challenges posed by the proximity of critical structures, including the trachea, esophagus, carotid sheath, and recurrent laryngeal nerve. Access to the upper cervical spine is often limited to the mandible. A thorough understanding of the relevant anatomy is essential for careful consideration of surgical indications when selecting an appropriate technique. By ensuring accurate decompression and stabilization, optimal postoperative outcomes in terms of neural symptom relief and spinal stability can be achieved.