{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:40:36Z","timestamp":1753879236651,"version":"3.41.2"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82302785"],"award-info":[{"award-number":["82302785"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Anterior cervical discectomy and fusion (ACDF) is a trans\u2010intervertebral space procedure with limited ability to treat compression at the back of the vertebral body. Anterior cervical corpectomy and fusion (ACCF) can be applied in this case, but the higher complication rates restrict its usage. This study aims to describe an ACDF\u2010based procedure named anterior cervical V\u2010shaped osteotomy and fusion (ACVF) with a long axial decompression range while preserving the intact anterior half of the vertebral body.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Four patients with contiguous two\u2010level degenerative cervical myelopathy who underwent ACVF with 12\u2010month follow\u2010up were retrospectively reviewed. Intraoperatively, an electrode penetration test was conducted to verify complete decompression. Clinical outcomes were evaluated using the modified Japanese Orthopedic Association (mJOA) score and the Visual Analog Scale (VAS) score. Radiological examinations, including computed tomography (CT) and magnetic resonance imaging (MRI), were used to assess spinal cord decompression and intervertebral fusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All surgeries were successfully completed with an average operative time of 182\u2009min. Both the mJOA score and the VAS score improved at the follow\u2010ups postoperatively. Postoperative imaging showed thorough decompression of the spinal cord, unimpaired fusion process, and acceptable vertebral body height loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ACVF may be safe and effective for spinal cord direct decompression in the case of retro\u2010corporeal compression, with the potential to serve as a substitute for ACCF and avoid the complications associated with long\u2010strut grafts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.70076","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T06:06:13Z","timestamp":1748325973000},"page":"2173-2182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Cervical V\u2010Shaped Osteotomy and Fusion (<scp>ACVF<\/scp>) for Retro\u2010Corporeal Decompression Bypassing Anterior Corpus Vertebra: A Technical Note"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2558-5829","authenticated-orcid":false,"given":"Minghe","family":"Yao","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaling","family":"Li","sequence":"additional","affiliation":[{"name":"Operating Room, Department of Anesthesiology West China Hospital, Sichuan University  Chengdu China"},{"name":"West China School of Nursing Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8755-1427","authenticated-orcid":false,"given":"Beiyu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingkui","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kangkang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shihao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoqiang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5330-4193","authenticated-orcid":false,"given":"Hao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/21925682211036071"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-97952-6"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2022.03.012"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2022.0003"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.25259\/SNI-191-2019"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-05215-8"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000005437"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217699208"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a7eb27"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/02688699650040115"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.13489"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3171\/2022.7.SPINE22614"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010195840030\u201000009"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-020-10197-w"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1958.15.6.0602"},{"issue":"1","key":"e_1_2_9_17_1","first-page":"1","article-title":"The Cervical Vertebra Spreader. 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