title: Revision cervical spine surgery.
abstract: Principles of revision cervical spine surgery are based on adequate decompression of neural elements and mechanical stability via appropriate selection of surgical approach and constructs producing long-term stability with arthrodesis. When planning revision surgery, the surgeon must consider the cause of the underlying problem (eg, biological, mechanical), the potential for complications, and clinical outcomes that can reasonably be expected. This information should be clearly explained to the patient during the informed consent process. This article provides the spine care provider with an understanding of how to appropriately evaluate and manage the most common cervical conditions that require revision cervical spine surgery.
authors.affiliation: Department of Orthopaedic Surgery, Thomas Jefferson University and Hospitals, The Rothman Institute, 925 Chestnut Street 5th floor, Philadelphia, PA 19107, USA. jrihno16@yahoo.com
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Rihn
authors.forename: Chambliss
authors.initials: C
authors.lastname: Harrod
authors.forename: Todd J
authors.initials: TJ
authors.lastname: Albert
mesh_terms: D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019299:Decompression, Surgical / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D007796:Laminectomy / Q000009:adverse effects / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009192:Myelography / Q000379:methods; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation / Q000379:methods*; D018570:Risk Assessment; D013122:Spinal Diseases / Q000175:diagnosis / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome