Anterior cervical vertebrectomy and interbody fusion. Technical note.

This report discusses the authors' technique in performing anterior cervical vertebrectomy and interbody fusion for multilevel cervical disease. The technique is performed with a high-speed drill and bone-bank fibular strut graft. After decompression of the cervical canal, ledges are made in the intact vertebral bodies to create a rectangular bed for safe seating of the bone graft. The bone-bank fibular strut graft is a feasible alternative to autograft. The simplified and safe nature of this procedure reduces postoperative morbidity as well as the length of hospital stay.