Reversal of tetraplegia in patients with cervical osteomyelitis – epidural abscess using anterior debridement and fusion

Young, William F.; Weaver, Michael; Snyder, Brian D.; Narayan, Raj K.

doi:10.1038/sj.sc.3101207

Cited by 15 publications

(14 citation statements)

References 15 publications

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“… 3 Although CSM and SCI are the major causes of spinal cord compression, other causes include neoplasm and infection. 4 5 …”

Section: Introductionmentioning

confidence: 99%

“…Anterior cervical corpectomy is the most direct and thorough surgical approach for anterior decompression when the spinal cord compression is located directly behind a vertebral body. Indications for this procedure include degenerative disorders, 6 neoplasm, 4 trauma, 7 infectious diseases, 5 or correction of degenerative or iatrogenic kyphosis. 8 The procedure has demonstrated good clinical results in terms of neurologic outcome and success in arthrodesis and stabilization.…”

Section: Introductionmentioning

confidence: 99%

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Anterior Cervical Reconstruction Using Free Vascularized Fibular Graft after Cervical Corpectomy

Addosooki

Alam-Eldin

Abdel-Wanis

et al. 2015

Global Spine Journal

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Study Design Prospective study. Objective The aim of this study was to evaluate the clinical and radiologic results of using free vascularized fibular graft (FVFG) for anterior reconstruction of the cervical spine following with varying levels of corpectomy. Methods Ten patients underwent anterior cervical reconstruction using an FVFG after cervical corpectomy augmented with internal instrumentation. All patients were evaluated neurologically according to the Japanese Orthopaedic Association (JOA) and modified JOA scoring systems and the Nurick grading system. The neurologic recovery rate was determined, and the clinical outcome was assessed based on three factors: neck pain, dependence on pain medication, and ability to return to work. The fusion status and maintenance of lordotic correction by the strut graft were determined by measuring the lordosis angle and fused segment height (FSH). Results All patients achieved successful fusion. The mean follow-up period was 35.2 months (range, 28 to 44 months). Graft union occurred at a mean of 3.5 months. The mean loss of lordotic correction was 0.95 degrees, and the mean change in FSH was <1 mm. The neurologic recovery rate was excellent in four patients, good in five, and fair in one. All patients achieved satisfactory clinical outcome. No neurologic injuries occurred during the operations. Conclusion The use of FVFG is a valuable and effective technique in anterior cervical reconstruction for complex disorders.

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“… 3 Although CSM and SCI are the major causes of spinal cord compression, other causes include neoplasm and infection. 4 5 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anterior Cervical Reconstruction Using Free Vascularized Fibular Graft after Cervical Corpectomy

Addosooki

Alam-Eldin

Abdel-Wanis

et al. 2015

Global Spine Journal

View full text Add to dashboard Cite

show abstract

“…Anterior cervical corpectomy provides the most direct and thorough surgical approach for anterior decompression when spinal cord compression is found directly behind the vertebral body. Indications include degenerative disorders, 1 – 3 neoplasms, 4 – 5 trauma, 6 – 7 infectious disorders, 8 or correction of either degenerative or iatrogenic kyphosis. 9 – 12 The procedure has enjoyed excellent clinical results, in terms of neurological outcomes, and success of arthrodesis and stabilization.…”

Section: Introductionmentioning

confidence: 99%

Anterior Cervical Corpectomy and Fusion Accelerates Degenerative Disease at Adjacent Vertebral Segments

et al. 2008

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BackgroundAnterior cervical corpectomy provides the most direct and thorough surgical approach for anterior decompression when spinal cord compression is found directly behind the vertebral body. However, anterior cervical fusion has been shown to be associated with the development of new degenerative changes at levels immediately adjacent to the fused segments. Th e incidence of adjacent segment disease (ASD) following anterior cervical corpectomy has not been widely reported. We set out to determine the incidence of clinical ASD following anterior cervical corpectomy.MethodsWe retrospectively reviewed all available medical charts and radiographic studies of all cases of anterior cervical corpectomy performed at the Barrow Neurological Institute over a 4-year period with a minimum 24-month follow-up. Factors assessed included the success of arthrodesis, the presence of degenerative changes on serial follow-up radiographs, and the development of new neurological symptoms.ResultsSeventy-six patients met the criteria for inclusion: 54 had undergone a 1-level corpectomy, 18 underwent a 2-level corpectomy, and 4 underwent a 3- or 4-level corpectomy. Arthrodesis was performed with either allograft or autograft and anterior cervical plating. All patients achieved successful fusion. Follow-up was available for a minimum of 2 years in all cases, with a mean length of 3.6 years. Sixteen patients (21%) eventually developed radiological and clinical evidence of degenerative changes at adjacent levels. In 10 of 11 patients who developed clinical symptoms within 2 years, the changes represented progression of pre-existing, asymptomatic degenerative disease. Five patients developed degenerative changes more than 5 years after surgery; these were all associated with an unrelated new insult to the cervical spine such as trauma.ConclusionsAnterior cervical corpectomy with fixation can accelerate degenerative changes identified preoperatively at adjacent, asymptomatic levels of the cervical spine.Level of EvidenceRetrospective cohort study (level 2b).

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“…Anterior cervical corpectomy provides the most direct and thorough surgical approach for anterior decompression when spinal cord compression is found directly behind the vertebral body. Indications include degenerative disorders, [1][2][3] neoplasms, 4-5 trauma, [6][7] infectious disorders, 8 or correction of either degenerative or iatrogenic kyphosis. [9][10][11][12] The procedure has enjoyed excellent clinical results, in terms of neurological outcomes, and success of arthrodesis and stabilization.…”

Section: Introductionmentioning

confidence: 99%

Anterior Cervical Corpectomy and Fusion Accelerates Degenerative Disease at Adjacent Vertebral Segments

Pickett¹,

Duggal²,

Theodore³

et al. 2008

SAS Journal

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BackgroundAnterior cervical corpectomy provides the most direct and thorough surgical approach for anterior decompression when spinal cord compression is found directly behind the vertebral body. However, anterior cervical fusion has been shown to be associated with the development of new degenerative changes at levels immediately adjacent to the fused segments. Th e incidence of adjacent segment disease (ASD) following anterior cervical corpectomy has not been widely reported. We set out to determine the incidence of clinical ASD following anterior cervical corpectomy. MethodsWe retrospectively reviewed all available medical charts and radiographic studies of all cases of anterior cervical corpectomy performed at the Barrow Neurological Institute over a 4-year period with a minimum 24-month follow-up. Factors assessed included the success of arthrodesis, the presence of degenerative changes on serial follow-up radiographs, and the development of new neurological symptoms. ResultsSeventy-six patients met the criteria for inclusion: 54 had undergone a 1-level corpectomy, 18 underwent a 2-level corpectomy, and 4 underwent a 3-or 4-level corpectomy. Arthrodesis was performed with either allograft or autograft and anterior cervical plating. All patients achieved successful fusion. Follow-up was available for a minimum of 2 years in all cases, with a mean length of 3.6 years. Sixteen patients (21%) eventually developed radiological and clinical evidence of degenerative changes at adjacent levels. In 10 of 11 patients who developed clinical symptoms within 2 years, the changes represented progression of pre-existing, asymptomatic degenerative disease. Five patients developed degenerative changes more than 5 years after surgery; these were all associated with an unrelated new insult to the cervical spine such as trauma. ConclusionsAnterior cervical corpectomy with fi xation can accelerate degenerative changes identifi ed preoperatively at adjacent, asymptomatic levels of the cervical spine. Level of EvidenceRetrospective cohort study (level 2b).

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Reversal of tetraplegia in patients with cervical osteomyelitis – epidural abscess using anterior debridement and fusion

Cited by 15 publications

References 15 publications

Anterior Cervical Reconstruction Using Free Vascularized Fibular Graft after Cervical Corpectomy

Anterior Cervical Reconstruction Using Free Vascularized Fibular Graft after Cervical Corpectomy

Anterior Cervical Corpectomy and Fusion Accelerates Degenerative Disease at Adjacent Vertebral Segments

Anterior Cervical Corpectomy and Fusion Accelerates Degenerative Disease at Adjacent Vertebral Segments

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