Anterior Cervical Corpectomy and Fusion for Degenerative and Traumatic Spine Disorders, Single-Center Experience of a Case Series of 119 Patients

Tatter, Charles; Persson, Oscar; Burström, Gustav; Edström, Erik; Elmi-Terander, Adrian

doi:10.1093/ons/opaa235

Cited by 10 publications

(17 citation statements)

References 26 publications

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“…In the study group, 2 complications were noted in the form of postoperative hematoma and C5 radiculopathy. 4 …”

Section: Discussionmentioning

confidence: 99%

“…In the study group, 2 complications were noted in the form of postoperative hematoma and C5 radiculopathy. 4 In a multicenter study, 114 patients with multilevel stenosis were treated with corpectomy, reconstructed with autologous bone and plate, and a titanium expandable prosthesis with a plate or a titanium mesh cage filled with autologous bone and a plate. A total of 12 mo postoperatively, according to the Nurick scale, 73 patients achieved partial improvement and 41 showed complete improvement.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Various corpectomy reconstructive techniques have been described utilizing autograft, allograft, mesh, and expandable cages. [4][5][6][7][8][9] Expandable cages can be lengthened postimplantation to fill the defect and improve alignment. 10,11 Despite the increasing popularity of expandable cages,…”

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confidence: 99%

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Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

et al. 2021

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BACKGROUND Expandable cages are often used to reconstruct cervical corpectomies but there are few long-term follow-up studies with large numbers. OBJECTIVE To analyze the clinical and radiographic results of cervical corpectomy reconstructed with expandable cages for degenerative stenosis. METHODS We performed a retrospective analysis of 78 patients with degenerative cervical stenosis treated with a corpectomy reconstructed with an expandable cage. We evaluated the clinical and radiographic outcomes, as well as complications of the procedure at a minimum 2-yr follow-up. RESULTS There was a decrease in the visual analog scale pain average from 75 mm to 8.5 mm (P = .02); a decrease in the Neck Disability Index average from 55% to 12% (P = .009); and improvement in the Japanese Orthopaedic Association average from 12 to 14 points (P = .01). There was a change in cervical lordosis (Cobb method) average from −9.3° to −15.1° (P = .002), without significant loss of lordosis (P = .63). The fusion rate, by criteria of the Cervical Spine Research Society (CSRS), was low: using dynamic X-rays – 50% (n = 39/78) and using computed tomography (CT) – 47.4% (n = 37/78). A total of 11 patients (14.1%) suffered complications. CONCLUSION To our knowledge, this is the largest series (78) with a minimum 2-yr follow-up in the literature and the first using the dynamic radiographic and CT criteria endorsed by the CSRS. Using these criteria, our fusion rates were much lower than all previous reports in the literature. Despite this, patient-reported outcomes were reasonable. There was a relatively low incidence of perioperative complications, most of which were likely not implant-specific and there was only 1 case of implant failure.

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“…In the study group, 2 complications were noted in the form of postoperative hematoma and C5 radiculopathy. 4 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

et al. 2021

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“…Although some patient risk factors such as osteoporosis, diabetes, and smoking status that have been associated with poorer outcomes can be treated before surgical intervention, other patient characteristics are not modifiable or are indeed part of the indication for the surgical procedure. 11,14 Patients who are undergoing procedures for the treatment of osteomyelitis or tumor tend to have graft failure rates and longer hospital stays than those having elective treatment for degenerative CSM or even than those treated for trauma 6,17,20 and therefore their hospital team and family should be made aware of the predisposition to extended hospitalization, need for surgical revision and increased risk of mortality.…”

Section: Complication Avoidancementioning

confidence: 99%

Anterior Cervical Corpectomy and Fusion for Degenerative Cervical Spondylotic Myelopathy

Louie

Nemani

Leveque

2022

Clinical Spine Surgery: A Spine Publication

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Anterior cervical corpectomy and fusion (ACCF) provides an extensive decompression and provides a large surface area for fusion in patients presenting with cervical spondylotic myelopathy. Unfortunately, this procedure is a more difficult spinal surgery to perform (compared with a traditional anterior cervical discectomy and fusion) and has a higher incidence of overall complications. In literature, ACCF has functional outcomes that seem clinically equivalent to those for multilevel anterior cervical discectomy and fusion, especially when contained to 1 vertebral body level, and in cases, for which both posterior and anterior procedures would be appropriate surgical options, may provide greater long-term clinical benefit than posterior fusion or laminoplasty. In this manuscript, we summarize the indications and outcomes following ACCF for degenerative cervical spondylotic myelopathy. We then describe a case presentation and associated surgical technique with a discussion of complication avoidance with this procedure.

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“…Anterior cervical corpectomy and fusion is a commonly used anterior approach, whilst posterior total laminectomy is a commonly used posterior surgical approach [ 13 , 14 ]. These surgical methods have respective advantages and disadvantages, yet few reports have compared the efficacy of these approaches in the treatment of cervical spinal cord injury.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Anterior Cervical Corpectomy and Fusion and Posterior Total Laminectomy on Cervical Spinal Cord Injury and Quality of Life

Yin

Yang

Tian

et al. 2022

Computational and Mathematical Methods in Medicine

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This study is aimed at investigating the efficacy of anterior cervical corpectomy and fusion and posterior total laminectomy in the treatment of cervical spinal cord injury and assessing the impact of the two approaches on cervical spine function and patient quality of life. Retrospectively analyze the clinical data from 180 patients with cervical spinal cord injury who were admitted to the First Affiliated Hospital of Hebei North University from June 2019 to June 2021. The patients were divided into an anterior approach group ( n = 89 , treated with anterior cervical corpectomy and fusion) and a posterior approach group ( n = 91 , treated with posterior total laminectomy). The amount of blood loss in the posterior approach group was larger compared to the anterior approach group. Patients in the posterior approach group had higher wound diameters and operation times compared to the anterior approach group, as well as the operation cost. The visual analogue scale (VAS) scores of patients in the posterior approach group were significantly higher than in the anterior approach group one month after operation. The Japanese Orthopaedic Association (JOA), neck disability index (NDI), and American Spinal Injury Association (ASIA) scores of patients in both groups at 1, 6, and 9 months after surgery were higher compared to those before surgery, yet no significant differences were observed between the two groups. Also, no significant difference was observed in the incidence of complication and the quality of life between the two groups before and after treatment. Anterior cervical corpectomy and fusion and posterior total laminectomy can effectively restore the cervical nerve function in the treatment of cervical spinal cord injury. However, anterior subtotal vertebral resection is associated with improved perioperative indicators compared to posterior total laminectomy. Clinically, surgical methods can be selected according to imaging findings, the general condition of patients, and individual economic status.

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Anterior Cervical Corpectomy and Fusion for Degenerative and Traumatic Spine Disorders, Single-Center Experience of a Case Series of 119 Patients

Cited by 10 publications

References 26 publications

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

Anterior Cervical Corpectomy and Fusion for Degenerative Cervical Spondylotic Myelopathy

The Efficacy of Anterior Cervical Corpectomy and Fusion and Posterior Total Laminectomy on Cervical Spinal Cord Injury and Quality of Life

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