scholarly journals Single Stage Circumferential Cervical Surgery (Selective Anterior Cervical Corpectomy with Fusion and Laminoplasty) for Multilevel Ossification of the Posterior Longitudinal Ligament with Spinal Cord Ischemia on MRI

2010 ◽  
Vol 48 (4) ◽  
pp. 335 ◽  
Author(s):  
Seong Son ◽  
Sang Gu Lee ◽  
Chan Jong Yoo ◽  
Chan Woo Park ◽  
Woo Kyung Kim
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Ischemia ◽  
Posterior Longitudinal Ligament ◽  
Single Stage ◽  
Cervical Corpectomy ◽  
Cervical Surgery ◽  
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 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.

Multilevel anterior cervical corpectomy and fibular allograft fusion for cervical myelopathy

1997 ◽  
Vol 86 (6) ◽  
pp. 990-997 ◽  
Author(s):  
R. Loch Macdonald ◽  
Michael G. Fehlings ◽  
Charles H. Tator ◽  
Andres Lozano ◽  
J. Ross Fleming ◽  
...  
Keyword(s):  
Cervical Myelopathy ◽  
Cerebrospinal Fluid Leak ◽  
Posterior Longitudinal Ligament ◽  
Morbidity Rate ◽  
Preoperative Pain ◽  
Duration Of Symptoms ◽  
Content Type ◽  
Cervical Corpectomy ◽  
The Mean ◽  
Anterior Cervical Corpectomy

✓ This study was conducted to determine the safety and efficacy of multilevel anterior cervical corpectomy and stabilization using fibular allograft in patients with cervical myelopathy. Thirty-six patients underwent this procedure for cervical myelopathy caused by spondylosis (20 patients), ossified posterior longitudinal ligament (four patients), trauma (one patient), or a combination of lesions (11 patients). The mean age (± standard deviation) of the patients was 58 ± 10 years and 30 of the patients were men. The mean duration of symptoms before surgery was 30 ± 6 months and 11 patients had undergone previous surgery. Prior to surgery, the mean Nurick grade of the myelopathy was 3.1 ± 1.4. Seventeen patients also had cervicobrachial pain. Four vertebrae were removed in six patients, three in 19, and two in 11 patients. Instrumentation was used in 15 cases. The operative mortality rate was 3% (one patient) and two patients died 2 months postoperatively. Postoperative complications included early graft displacement requiring reoperation (three patients), transient dysphagia (two patients), cerebrospinal fluid leak treated by lumbar drainage (three patients), myocardial infarction (two patients), and late graft fracture (one patient). One patient developed transient worsening of myelopathy and three developed new, temporary radiculopathies. All patients achieved stable bone union and the mean Nurick grade at an average of 31 6 20 months (range 0–79 months) postoperatively was 2.4 ± 1.6 (p < 0.05, t-test). Cervicobrachial pain improved in 10 (59%) of the 17 patients who had preoperative pain and myelopathy improved at least one grade in 17 patients (47%; p < 0.05). Twenty-six surviving patients (72%) were followed for more than 24 months and stable, osseous union occurred in 97%. These results show that extensive, multilevel anterior decompression and stabilization using fibular allograft can be achieved with a perioperative mortality and major morbidity rate of 22% and with significant improvement in pain and myelopathy.

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