Platysma sparing approach to anterior cervical spine surgery: A less exposure surgery technique.

J Orthop 2019 Nov-Dec;16(6):559-562. Epub 2019 Jun 4.

Less Exposure Surgical Specialists Institute (LESS Institute), USA.

Introduction: Authors aim to demonstrate the surgical technique and outcomes of using a platysma sparing approach to anterior cervical spine surgery.

Methods: 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.

Results: 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.

Conclusion: This anatomy sparing technique demonstrates a safe, effective and reproducible approach to cervical spine surgery which is a goal of less exposure surgery philosophy.

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Source
http://dx.doi.org/10.1016/j.jor.2019.06.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6807304PMC
June 2019

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