• Andrei F Joaquim, Ratko Yurac, Marcelo Valacco, Orlando R Neto, Charles A Carazzo, Juan P Cabrera, Alisson R Teles, Ericson Sfreddo, Asdrubal Falavigna, and AOSpine LatinoAmerican Trauma Study Group.
• Department of Neurosurgery, University of Campinas (UNICAMP), Campinas-SP, Brazil. Electronic address: andjoaquim@yahoo.com.
• World Neurosurg. 2021 Feb 1; 146: e76-e85.

BackgroundThe treatment of unilateral CFD in patients without neurologic deficits remains controversial, especially in the choice of the best surgical approach. Our objective is to determine the way spine surgeons from Latin America manage this condition.MethodsA survey regarding management and surgical strategies was conducted by the AO Spine Latin American Trauma Study Group considering the treatment of unilateral CFD.ResultsAll AO Spine Latin American Trauma Study Group members were sent a link to the survey, among whom 285 replied, with 197 respondents answering all the questions. Nonsurgical management was considered by 25% of the surgeons. The majority stated that magnetic resonance imaging is necessary (65%) to treat this type of patient. A posterior approach was preferred by 44%, an anterior approach by 29%, and a combined approach by 25%, while 2.2% did not answer. Traction was not used by the majority of respondents (62%). In the setting of an anterior disk herniation, the majority of surgeons preferred to employ an anterior (45%) or combined (44%) approach versus an isolated posterior approach (only 0.5%). Comparing early versus late cervical trauma, fewer surgeons adopted an isolated anterior approach with the latter (29% vs. 15%).ConclusionsWide variations exist in the management of unilateral CFD by Latin American surgeons, with early injuries generally treated using either an anterior or posterior approach and treated early but after an MRI, while a combined approach is used more commonly with late injuries. Either an anterior or combined approach is used when disk herniation is present.Copyright © 2020 Elsevier Inc. All rights reserved.

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