Surgical Techniques: Subaxial Cervical—Modified Subaxial Paramedian Transpedicular Approach and Reconstruction

Ventrally located cervical spinal tumors present barriers to safe and efficacious surgical resection. The modified paramedian transpedicular approach with reconstruction was originally developed for ventral and ventrolaterally located intradural tumors spanning several segments in the cervical and cervicothoracic spine. Thus, in the subaxial cervical spine, this approach allows for a direct tumor visualization via a wide exposure secondary to bony removal with minimal spinal cord manipulation.