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.
Artículo
en Inglés
| WPRIM
| ID: wpr-765393
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Parálisis
/
Enfermedades de la Médula Espinal
/
Titanio
/
Vértebras Cervicales
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Osificación del Ligamento Longitudinal Posterior
/
Ligamentos Longitudinales
/
Trasplantes
/
Espondilosis
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Neurosurgical Society
Año:
2019
Tipo del documento:
Artículo
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