{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:45:42Z","timestamp":1779335142219,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,9,27]],"date-time":"2017-09-27T00:00:00Z","timestamp":1506470400000},"content-version":"vor","delay-in-days":57,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To introduce and analyze the feasibility of a new surgical strategy for circumferential reconstruction of subaxial cervical and cervicothoracic spine by simultaneously combined anterior\u2013posterior approach in the sitting position.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was performed for seven patients who underwent the above surgical procedure between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 2011 and <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2015. Among the seven patients, there were six men and one woman, with an average age of 52\u2009years (range, 36\u201379\u2009years). Six patients were confirmed to have a lower subaxial cervical fracture and dislocation with a locked facet joint, and the other patient had an invasive tumor involving both anterior and posterior parts of vertebrae and lamina, detected by radiological examination. The levels involved for all patients were from <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content><jats:sub>4<\/jats:sub> to <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content><jats:sub>2<\/jats:sub>. According to <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>pinal <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>njury <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ssociation (<jats:styled-content style=\"fixed-case\">ASIA<\/jats:styled-content>) classification, one case was class <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>, four were class <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>, and two were class <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>. The patients were restricted in the sitting position with traction and a halo in extension to immobilize the head during the operation. The simultaneously combined anterior\u2013posterior operation for reduction, decompression or tumor resection and circumferential reconstruction was carried out.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both anterior and posterior procedures were successfully completed simultaneously in the sitting position in all cases. There were no perioperative complications. The average operative time was 175\u2009\u00b1\u200932\u2009min (range, 120\u2013240\u2009min), and the mean blood loss was 430\u2009\u00b1\u200985\u2009mL (range, 200\u20131100\u2009mL). The patients were followed up for 35.8\u2009months (range, 18\u201360\u2009months). The symptom of neck pain improved distinctly and no evidence of implant failure was noted in any patients. Neurological status improvement was confirmed in six patients, who had suffered incomplete paralysis. The <jats:styled-content style=\"fixed-case\">ASIA<\/jats:styled-content> grade improved in five patients, and two cases had no change in grade.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The \u201csitting position\u201d simultaneously combined anterior\u2013posterior approach is safe and is superior to the traditional prone position and supine position, and the surgical results are satisfactory.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12341","type":"journal-article","created":{"date-parts":[[2017,9,29]],"date-time":"2017-09-29T15:05:24Z","timestamp":1506697524000},"page":"263-270","source":"Crossref","is-referenced-by-count":3,"title":["Circumferential Reconstruction of Subaxial Cervical and Cervicothoracic Spine by Simultaneously Combined Anterior\u2013posterior Approaches in the Sitting Position"],"prefix":"10.1111","volume":"9","author":[{"given":"Yue","family":"Han","sequence":"first","affiliation":[{"name":"Department of Spine Surgery Tianjin 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