scholarly journals Failure of an expandable cage-plate cervical vertebral body replacement: case report of a device related complication

2017 ◽  
Vol 28 (3) ◽  
pp. 214-218
Author(s):  
Klemens Trieb
Neurosurgery ◽  
1989 ◽  
Vol 25 (6) ◽  
pp. 999-1002 ◽  
Author(s):  
Angelo A. Patil

Abstract Although the transoral approach to the atlantoaxial region is generally an open surgical procedure, in patients in whom only tissue diagnosis is required, a needle biopsy can be done. In this paper a patient with a metastatic lesion in the second cervical vertebral body is presented, and the technique for needle biopsy of the second cervical body using stereotactic methods is described.


2007 ◽  
Vol 61 (suppl_5) ◽  
pp. ONS317-ONS323 ◽  
Author(s):  
Brian T. Ragel ◽  
Amin Amini ◽  
Meic H. Schmidt

Abstract Objective: Minimally invasive thoracic anterior surgery using a thoracoscopic approach has evolved to include spinal biopsy, debridement, discectomy, decompressive corpectomy, interbody fusions, and internal fixations. Minimal access techniques can potentially decrease surgical access morbidity and also reduce the time required for recovery and healing. The thoracoscopic approach for decompression, stabilization, and anterior vertebral reconstruction of thoracolumbar fractures is described. Methods: In this article and video, we discuss patient selection, surgical positioning, port placement, thoracic level localization, exposure and removal of fractured vertebral bodies, anterior vertebral column reconstruction using an expandable cage, instrumentation, and postoperative management. Results: The potential advantages of using a minimally invasive thoracoscopic approach include direct trajectory to anterior spine pathology, minimal tissue and rib retraction, and decreased postoperative pain and length of hospital stay. The associated disadvantages include the steep learning curve for the surgeon, the need to operate with two-dimensional visual information and long instruments, and the requirement that one have an experienced surgical assistant. Conclusion: Minimally invasive surgery using a thoracoscopic approach for vertebral body replacement with an expandable cage can be performed safely. Expandable cages facilitate the vertebral body reconstruction via minimal access surgery.


2003 ◽  
Vol 15 (5) ◽  
pp. 1-6 ◽  
Author(s):  
Issada Thongtrangan ◽  
Raju S. V. Balabhadra ◽  
Hoang Le ◽  
Jon Park ◽  
Daniel H. Kim

Object The authors report their clinical experience with expandable cages used to stabilize the spine after verte-brectomy. The objectives of surgical treatment for spine tumors include a decrease in pain, decompression of the neural elements, mechanical stabilization of the spine, and wide resection to gain local control of certain primary tumors. Most of the lesions occur in the anterior column or vertebral body (VB). Anterior column defects following resection of VBs require surgical restoration of anterior column support. Recently, various expandable cages have been developed and used clinically for VB replacement (VBR). Methods Between January 2001 and June 2003, the authors treated 15 patients who presented with primary spinal tumors and metastatic lesions from remote sites. All patients underwent vertebrectomy, VBR with an expandable cage, and anterior instrumentation with or without posterior instrumentation, depending on the stability of the involved segment. The correction of kyphotic angle was achieved at an average of 20°. Pain scores according to the visual analog scale decreased from 8.4 to 5.2 at the last follow-up review. Patients whose Frankel neurological grade was below D attained at least a one-grade improvement after surgery. All patients achieved immediate stability postsurgery and there were no significant complications related to the expandable cage. Conclusions The advantage of the expandable cage is that it is easy to use because it permits optimal fit and correction of the deformity by in vivo expansion of the device. These results are promising, but long-term follow up is required.


2020 ◽  
Vol 19 (1) ◽  
pp. 65-69
Author(s):  
Hiwot A. Melka ◽  
Hector Rivera-Melo ◽  
Simone Jordan ◽  
Henry Hwang ◽  
James Whedon

2016 ◽  
Vol 30 (1) ◽  
pp. 41-46
Author(s):  
A. Chiriac ◽  
Z. Faiyad ◽  
C. Popescu ◽  
B. Costachescu ◽  
I. Poeata

Abstract Vertebral body reconstruction after corpectomy using expandable cage has become a common surgical procedure especially at thoracic level. The recent published papers describe the successful use of expandable cages for cervical vertebral body reconstruction. In this paper we present our first experience with expandable cervical cage in the reconstruction of the cervical spine in a patient with cervical spondylotic myelopathy (CSM)


Spine ◽  
1980 ◽  
Vol 5 (4) ◽  
pp. 392-394 ◽  
Author(s):  
TERRY R. LIGHT ◽  
FRANKLIN C. WAGNER ◽  
ROLLIN M. JOHNSON ◽  
WAYNE O. SOUTHWICK

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