Preoperative Radiographic Simulation for Partial Uncinate Process Resection during Anterior Cervical Discectomy and Fusion to Achieve Adequate Foraminal Decompression and Prevention of Vertebral Artery Injury.

Other radiographic parameters, such as uncinate process height, thickness, vertical distance from the uncinate process base to VA, and horizontal distance from the uncinate process to VA, did not demonstrate a significant trend when foraminal stenosis was present ( Tables 1 , 2 ).

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The distances between the right and left uncinate process tips were 19.4±2.6 mm, 20.3±2.2 mm, 23.0±2.6 mm, and 26.3±2.1 mm for C3–C4, C4–C5, C5–C6, and C6–C7 levels, respectively, with an increasing trend from the proximal to distal level.

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