Surgical Reconstruction Using a Flanged Mesh Cage without Plating for Cervical Spondylotic Myelopathy and a Symptomatic Ossified Posterior Longitudinal Ligament
Journal of Korean Neurosurgical Society
; : 671-680, 2019.
Article
ي En
| WPRIM
| ID: wpr-765393
المكتبة المسؤولة:
WPRO
ABSTRACT
OBJECTIVE: We introduce innovative method of cervical column reconstruction and performed the reconstruction with a flanged titanium mesh cage (TMC) instead of a plate after anterior corpectomy for cervical spondylotic myelopathy (CSM) and an ossified posterior longitudinal ligament (OPLL). METHODS: Fifty patients with CSM or OPLL who underwent anterior cervical reconstruction with a flanged TMC were investigated retrospectively. Odom’s criteria were used to assess the clinical outcomes. The radiographic evaluation included TMC subsidence, fusion status, and interbody height. Thirty-eight patients underwent single-level and 12 patients underwent two-level corpectomy with a mean follow-up period of 16.8 months. RESULTS: In all, 19 patients (38%) had excellent outcomes and 25 patients (50%) had good outcomes. Two patients (4%) in whom C5 palsy occurred were categorized as poor. The fusion rate at the last follow-up was 98%, and the severe subsidence rate was 34%. No differences in subsidence were observed among Odom’s criteria or between the single-level and two-level corpectomy groups. CONCLUSION: The satisfactory outcomes in this study indicate that the flanged TMC is an effective graft for cervical reconstruction.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Paralysis
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Spinal Cord Diseases
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Titanium
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Cervical Vertebrae
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Retrospective Studies
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Follow-Up Studies
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Ossification of Posterior Longitudinal Ligament
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Longitudinal Ligaments
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Transplants
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Spondylosis
نوع الدراسة:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
المحددات:
Female
/
Humans
اللغة:
En
مجلة:
Journal of Korean Neurosurgical Society
السنة:
2019
نوع:
Article