Cervical spondylotic myelopathy is surgically demanding when associated with rigid kyphosis. Posterior surgery cannot restore cervical lordosis, and adequate decompression is not possible with rigid kyphosis. Vertebral body sliding osteotomy (VBSO) is a safe and novel technique for anterior decompression in patients with multilevel cervical spondylotic myelopathy. It is safe in terms of dural tear, pseudarthrosis, and graft dislodgement, which are demonstrated at high rates in anterior cervical corpectomy and fusion. In addition, VBSO is a powerful method for restoring cervical lordosis through multilevel anterior cervical discectomy and fusion above and below the osteotomy level. It may be a feasible treatment option for patients with cervical spondylotic myelopathy and kyphotic deformity. This is a technical note and literature review that describes the procedures involved in VBSO.
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Evaluating MRI predictors for surgical outcomes in selective laminoplasty for OPLL-Induced cervical myelopathy: A comparative analysis of mKappa-line and mK-line Dong-Ho Lee, Hyung-Rae Lee, Sang Yun Seok, In Hee Kim, Dae Wi Cho, Jae-Hyuk Yang, Jae Hwan Cho, Chang Ju Hwang Journal of Orthopaedic Science.2026; 31(3): 561. CrossRef
Dynamic K-Line Status and Surgical Outcomes in Multilevel Cervical OPLL: A Multicenter Comparative Study Jun Jae Shin, Sun Joon Yoo, Se Jun Park, Dong Kyu Kim, Hyun Jun Jang, Bong Ju Moon, Kyung Hyun Kim, Jeong Yoon Park, Sung Uk Kuh, Dong Kyu Chin, Keun Su Kim, Chang Kyu Lee, Keung Nyun Kim, Tae Woo Kim, Yoon Ha Journal of Clinical Medicine.2026; 15(2): 520. CrossRef
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Recent progress in surgical treatment of cervical spine myelopathy – A narrative review Jun Ouchida, Hiroaki Nakashima, Sadayuki Ito, Naoki Segi, Ippei Yamauchi, Shiro Imagama Journal of Clinical Orthopaedics and Trauma.2025; 68: 103074. CrossRef
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