Surgical approaches and indications

IndicationSurgical approachRecommendation
DysphagiaOpenAnterolateral approachThe preferred approach given the ease of osteophyte removal and extended exposure from C2–T1
Transoral approachIndicated when exposure to the lower clivus or level C1 is needed
Vertebral fracturesOpenPosterior approachThe preferred approach for the cervical and thoracolumbar spine
Combined anterior and posterior approachRecommended in patients with unstable B- and C-type cervical fractures
Anterior approachGenerally not recommended due to high failure rates
Minimally invasivePosterior approachSuitable for neurologically stable patients with vertebral fractures