Utility of Routine Outpatient Cervical Spine Imaging Following Anterior Cervical Corpectomy and Fusion

We report 10 consecutive patients who underwent anterior cervical disectomy and fusion (ACDF) or anterior cervical corpectomy and fusion (ACCF) from Nov 2015. Nine of these patients sustained fracture or dislocation of cervical spine and one patient had tuberculous spondylitis. Eight patients improved by at least one grade (Frankel spinal scoring system) post operatively while 2 patients who had respiratory distress pre-operatively expired on 3rd and 21st post operative day.

Download Full-text

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

Journal of Neurosurgery Spine ◽

10.3171/2008.12.spine08422 ◽

2009 ◽

Vol 10 (3) ◽

pp. 240-243 ◽

Cited By ~ 10

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.

Download Full-text

Biomechanical Study of Anterior Cervical Corpectomy and Step-Cut Grafting With Bioabsorbable Screws Fixation in Cadaveric Cervical Spine Model

Spine ◽

10.1097/01.brs.0000232798.97075.73 ◽

2006 ◽

Vol 31 (19) ◽

pp. 2195-2201 ◽

Cited By ~ 12

Author(s):

Jian Zhang ◽

Xijing He ◽

Haopeng Li ◽

Dong Wang ◽

Weidong Zhao ◽

...

Keyword(s):

Cervical Spine ◽

Biomechanical Study ◽

Cervical Corpectomy ◽

Spine Model ◽

Bioabsorbable Screws ◽

Anterior Cervical Corpectomy

Download Full-text

Anterior cervical corpectomy and fusion with stand-alone cages in patients with multilevel degenerative cervical spine disease is safe

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04883-5 ◽

2022 ◽

Vol 23 (1) ◽

Author(s):

Mohamed H. Tohamy ◽

Georg Osterhoff ◽

Ahmed Shawky Abdelgawaad ◽

Ali Ezzati ◽

Christoph-E. Heyde

Keyword(s):

Cervical Spine ◽

Vertebral Body ◽

Significant Loss ◽

Cervical Corpectomy ◽

Anterior Plating ◽

Degenerative Cervical Spine ◽

Anterior Cervical Corpectomy ◽

Spine Disease ◽

Degenerative Cervical Spine Disease

Abstract Background In case of spinal cord compression behind the vertebral body, anterior cervical corpectomy and fusion (ACCF) proves to be a more feasible approach than cervical discectomy. The next step was the placement of an expandable titanium interbody in order to restore the vertebral height. The need for additional anterior plating with ACCF has been debatable and such technique has been evaluated by very few studies. The objective of the study is to evaluate radiographic and clinical outcomes in patients with multilevel degenerative cervical spine disease treated by stand-alone cages for anterior cervical corpectomy and fusion (ACCF). Methods Thirty-one patients (66.5 ± 9.75 years, range 53–85 years) were analyzed. Visual Analog Scale (VAS) and the 10-item Neck Disability Index (NDI) were assessed preoperatively and during follow-up on a regular basis after surgery and after one year at least. Assessment of radiographic fusion, subsidence, and lordosis measurement of Global cervical lordosis (GCL); fusion site lordosis (FSL); the anterior interbody space height (ant. DSH); the posterior interbody space height (post. DSH); the distance of the cage to the posterior wall of the vertebral body (CD) were done retrospectively. Mean clinical and radiographic follow-up was 20.0 ± 4.39 months. Results VAS-neck (p = 0.001) and VAS-arm (p < 0.001) improved from preoperatively to postoperatively. The NDI improved at the final follow-up (p < 0.001). Neither significant subsidence of the cages nor significant loss of lordotic correction were seen. All patients showed a radiographic union of the surgically addressed segments at the last follow up. Conclusions Application of a stand-alone expandable cage in the cervical spine after one or two-level ACCF without additional posterior fixation or anterior plating is a safe procedure that results in fusion. Neither significant subsidence of the cages nor significant loss of lordotic correction were seen. Trial registration Retrospectively registered. According to the Decision of the ethics committee, Jena on 25th of July 2018, that this study doesn’t need any registration. https://www.laek-thueringen.de/aerzte/ethikkommission/registrierung/.

Download Full-text

Anterior cervical corpectomy and fusion in a 7-year-old boy: a case report

Medical Journal of Indonesia ◽

10.13181/mji.v28i2.2673 ◽

2019 ◽

Vol 28 (2) ◽

pp. 183-7

Author(s):

Mohamad Saekhu ◽

Samsul Ashari ◽

David Tandian ◽

Setyo Widi Nugroho

Keyword(s):

Cervical Spine ◽

Cervical Spine Injury ◽

Cord Compression ◽

Spine Injury ◽

Research Report ◽

Cervical Spine Instability ◽

Cervical Corpectomy ◽

Primary Surgery ◽

Cervical Plate ◽

Anterior Cervical Corpectomy

Bicycle mishap, a common and ordinary event occurring in children, can have devastating consequences associated with cervical spine injury. Furthermore, either diagnosis or surgical management of cervical spine injury in children is a challenging issue. This research report a challenging case of an anterior cervical corpectomy and fusion with plating in a 7-year-old boy due to cervical spine instability with spinal cord compression after a bicycle mishap. After 20 months of the primary surgery, the titanium-based cervical plate was removed by a second surgery to allow the growth of the cervical spine.

Download Full-text