Surgical strategy used in multilevel cervical disc replacement and cervical hybrid surgery: Four case reports

Figure 5 The surgical procedure used for the hybrid surgery combining cervical disc replacement with anterior cervical corpectomy decompression and fusion in case 1. A: The decompression at C5/6 and C6/7 was performed first, and then the decompression and endplate preparation were finished at C4/5. The C4/5 disc space was inserted with an appropriate sized implant trial; B and C: The drilling and cutting processes were performed following the standard procedure; D: An appropriately sized artificial disc was inserted at C4/5; E: Anterior cervical corpectomy decompression and fusion was completed at C5-7 level; F: Lateral radiograph was taken to confirm the implants in good position.