Clinical Comparison of Surgical Constructs for Anterior Cervical Corpectomy and Fusion in Patients With Cervical Spondylotic Myelopathy or Ossified Posterior Longitudinal Ligament

2018 ◽  
Vol 31 (6) ◽  
pp. 247-260 ◽  
Author(s):  
Timothy R. Niedzielak ◽  
Joseph Palmer ◽  
John P. Malloy
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Posterior Longitudinal Ligament ◽  
Cervical Corpectomy ◽  
Clinical Comparison ◽  
Ossified Posterior Longitudinal Ligament ◽  
Anterior Cervical Corpectomy

Spinal cord herniation after multilevel anterior cervical corpectomy and fusion for ossification of the posterior longitudinal ligament of the cervical spine

2009 ◽  
Vol 10 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Jun-Hong Min ◽  
Byung-Joo Jung ◽  
Jee-Soo Jang ◽  
Seok-Kang Kim ◽  
Dae-Jin Jung ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Anterior Approach ◽  
Posterior Longitudinal Ligament ◽  
Neurological Deterioration ◽  
Dural Defect ◽  
Cervical Corpectomy ◽  
Spinal Cord Herniation ◽  
Ossified Posterior Longitudinal Ligament ◽  
Anterior Cervical Corpectomy

The authors report the case of a 52-year-old man who had undergone resection of an ossified posterior longitudinal ligament via the anterior approach. The patient experienced postoperative neurological deterioration that may have been caused by a massive cord herniation associated with a dural defect at the corpectomy site. Spinal cord herniation may develop as a complication of anterior cervical decompression. Surgeons should be alert to this condition when planning to treat cervical ossification of the ossified posterior longitudinal ligament via the anterior approach.

scholarly journals Sagittal Alignment of a Strut Graft Affects Graft Subsidence and Clinical Outcomes of Anterior Cervical Corpectomy and Fusion

2017 ◽  
Vol 11 (5) ◽  
pp. 739-747 ◽  
Author(s):  
Koun Yamauchi ◽  
Kazunari Fushimi ◽  
Kei Miyamoto ◽  
Akira Hioki ◽  
Katsuji Shimizu ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Cervical Spondylotic Myelopathy ◽  
Sagittal Alignment ◽  
Clinical Results ◽  
Recovery Ratio ◽  
Strut Graft ◽  
Cervical Corpectomy ◽  
Group I ◽  
Graft Subsidence ◽  
Anterior Cervical Corpectomy

<sec><title>Study Design</title><p>Retrospective study.</p></sec><sec><title>Purpose</title><p>The purpose of this study was to investigate the influence of sagittal alignment of the strut graft on graft subsidence and clinical outcomes after anterior cervical corpectomy and fusion (ACCF).</p></sec><sec><title>Overview of Literature</title><p>ACCF is a common technique for the treatment of various cervical pathologies. Although graft subsidence sometimes occurs after ACCF, it is one cause for poor clinical results. Malalignment of the strut graft is probably one of the factors associated with graft subsidence. However, to the best of our knowledge, no prior reports have demonstrated correlations between the alignment of the strut graft and clinical outcomes.</p></sec><sec><title>Methods</title><p>We evaluated 56 patients (33 men and 23 women; mean age, 59 years; range, 33–84 years; 45 with cervical spondylotic myelopathy and 11 with ossification of the posterior longitudinal ligament) who underwent one- or two-level ACCF with an autogenous fibular strut graft and anterior plating. The Japanese Orthopaedic Association (JOA) score recovery ratio for cervical spondylotic myelopathy was used to evaluate clinical outcomes. The JOA score and lateral radiograms were evaluated 1 week and 1 year postoperatively. Patients were divided into two groups (a straight group [group I] and an oblique group [group Z]) based on radiographic assessment of the sagittal alignment of the strut graft.</p></sec><sec><title>Results</title><p>Group I showed a significantly greater JOA score recovery ratio (<italic>p</italic>&lt;0.05) and a significantly lower graft subsidence than group Z (<italic>p</italic>&lt;0.01).</p></sec><sec><title>Conclusions</title><p>Our findings suggest that a straight alignment of the strut graft provides better clinical outcomes and lower incidence of graft subsidence after ACCF. In contrast, an oblique strut graft can lead to significantly increased strut graft subsidence and poor clinical results.</p></sec>

scholarly journals Acute Cervical Epidural Hematoma, Screw Pullout, and Esophageal Perforation After Anterior Cervical Corpectomy Surgery: Report of a Case

2015 ◽  
Vol 100 (2) ◽  
pp. 334-340 ◽  
Author(s):  
Ye Li ◽  
Qing-San Zhu ◽  
Jing-Chen Liu ◽  
Yun-Tao Wu
Keyword(s):  
Esophageal Perforation ◽  
Cervical Spondylotic Myelopathy ◽  
Epidural Hematoma ◽  
Esophageal Injury ◽  
Titanium Mesh ◽  
Cervical Corpectomy ◽  
Cervical Hematoma ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery ◽  
Anterior Cervical Corpectomy

To report a series of complications related to anterior cervical surgery in the same patient. There have been many reports of complications related to anterior cervical surgeries. These include cervical hematoma, instrumentation extrusion, or esophageal injury after anterior cervical decompression. However, there have been no reports of all these complications occurring in 1 patient. This is our report of a patient who experienced all 3 of these complications. The patient was a 73-year-old man suffering from cervical spondylotic myelopathy who was treated with C5 anterior cervical corpectomy and fusion with titanium mesh and bone graft. The patient successively experienced cervical hematoma, screw pullout, and esophageal perforation, and was treated accordingly. Although the patient suffered a series of complications after anterior cervical corpectomy, all the complications were treated successfully. It serves as a caution that a first complication such as hematoma in anterior cervical corpectomy with fusion should be given enough attention to prevent further complications.

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