scholarly journals Instrumentation Failure after Partial Corpectomy with Instrumentation of a Metastatic Spine

2018 ◽  
Vol 61 (3) ◽  
pp. 415-423
Author(s):  
Sung Bae Park ◽  
Ki Jeong Kim ◽  
Sanghyun Han ◽  
Sohee Oh ◽  
Chi Heon Kim ◽  
...  
2004 ◽  
Vol 39 (10) ◽  
pp. 919-926 ◽  
Author(s):  
R. Fossmark ◽  
T. C. Martinsen ◽  
K. E. Bakkelund ◽  
S. Kawase ◽  
S. H. Torp ◽  
...  

Author(s):  
Mohammad Zarei ◽  
Mohsen Rostami ◽  
Furqan Mohammed Yaseen Khan

Background: Revision surgery of spine can be a complex procedure and has known complications. It involves hardware revision, removal of scar/callus tissue, realignment of sagittal balance, and anterior augmentation. However, through this report, we aim to demonstrate that a stand-alone rod augmentation at the failure site without removal of scar/callus tissue and/or anterior fixation can achieve excellent results in select cases. Case Report: A 66-year-old woman underwent L2 pedicle subtraction osteotomy (PSO) + T9-iliac fixation for fixed sagittal imbalance and osteoporotic collapse of L3. One year later, she developed progressive axial lumbar pain and difficulty in mobilization. The patient was diagnosed with pseudoarthrosis and instrumentation failure and underwent revision spine surgery with stand-alone rod augmentation. She had anuneventful rehabilitation and showed complete radiographic union and excellent clinical outcome in the 2-year follow-up. Conclusion: Stand-alone rod augmentation can provide stable posterior construct to prevent future pseudoarthrosis and/or instrumentation failure after revision spine surgery in selected cases. Anterior augmentation or resection dural scar tissue or dissection through callus tissue is not always necessary.  


2020 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
Forhad H. Chowdhury ◽  
Mohammod Raziul Haque

A young man presented with quadriparesis due to severe kyphosis of the cervical spine. In the first posterior operation, the spinal cord was decompressed by laminectomies and posterior partial corpectomy through bilateral translateral mass and transforaminal approach followed by posterior stabilization and fusion. In the second operation, the cervical spine was stabilized and fused through an anterior approach. The patient recovered completely from his neurological deficit with very minimal neck movements. We report this case to describe the bilateral translateral mass and transforaminal partial posterior cervical corpectomy for spinal cord decompression followed by posterior and anterior stabilization and fusion.


Spine ◽  
2017 ◽  
Vol 42 (7) ◽  
pp. 471-478 ◽  
Author(s):  
Hai Wang ◽  
Jianwei Guo ◽  
Shengru Wang ◽  
Yang Yang ◽  
Yanbin Zhang ◽  
...  

2017 ◽  
Vol 1 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Katsuhito Yoshioka ◽  
Hideki Murakami ◽  
Satoru Demura ◽  
Satoshi Kato ◽  
Noriaki Yokogawa ◽  
...  

2016 ◽  
Vol 26 (3) ◽  
pp. 764-770 ◽  
Author(s):  
Andrea Luca ◽  
Claudia Ottardi ◽  
Maurizio Sasso ◽  
Liliana Prosdocimo ◽  
Luigi La Barbera ◽  
...  

2020 ◽  
pp. 219256822092219
Author(s):  
Alexander von Glinski ◽  
Ariel Takayanagi ◽  
Christopher Elia ◽  
Basem Ishak ◽  
Mishan Listmann ◽  
...  

Study Design: Retrospective cohort study Objectives: The study aims to evaluate anterior cervical discectomy and fusion (ACDF) in the treatment of patients with ossification of the anterior longitudinal ligament (OALL). Methods: We retrospectively reviewed cases performed at our institution between January 2015 and December 2018; adult (age ≥18 years) patients who underwent anterior cervical decompression and fusion in the presence of dysphagia and OALL. Ten patients (9 male, 1 female, mean age 64.4 years) with OALL who underwent ACDF were included. Charts were reviewed for demographics and comorbidities. Primary outcomes assessed were intra- and postoperative complications. Secondary outcomes were fusion rates, instrumentation failure, postsurgical instability/deformity, and readmission rates. Results: The average duration of symptoms prior to surgery was 12.3 months. All patients presented with dysphagia (mean Bazaz score 2.0). The average number of levels with OALL was 4.7 (±1.67). All patients underwent ACDF and 3 patients underwent additional posterior cervical fusion for kyphotic deformity correction or when extensive laminectomy was required. We did not encounter any intraoperative complications. Eight patients (72%) had solid fusion demonstrated on the lateral x-rays and no evidence of progressive kyphotic deformity. We did not encounter any instrumentation failure or loosening. Two patients developed recurrence of dysphagia (Bazaz scores 2 and 3 respectively). Conclusion: ACDF for OALL with dysphagia and concomitant myelopathy in our small series of 10 patients demonstrate good fusion and clinical outcomes. Larger studies will be necessary to determine the optimal treatment for patients with dysphagia due to OALL.


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