Revision Anterior Cervical Decompression and Fusion

This article serves to review the role of a revision anterior cervical decompression and fusion, excluding that performed for adjacent level disease. Proper patient selection and preoperative workup of recurrent and superior laryngeal nerve function are essential ingredients to clinical success. In most instances, computed tomography-myelography is the imaging modality of choice as residual stenosis from ossified posterior longitudinal ligament or osteophyte formation is most amenable to revision surgery. Clinical success, however, is contingent on proper patient selection.