Abstract
Object. The authors evaluated the efficacy of titanium cage- and anterior cervical plate (ACP)-augmented fusion for reconstruction following decompressive cervical corpectomy in nontraumatic disease. Methods. Forty-five patients ranging from 37 to 77 years of age underwent anterior cervical corpectomy followed by titanium cage-assisted reconstruction in which the cages were filled with autologous bone obtained from the resected vertebral bodies (VBs). Plates were placed in all patients. Follow-up radiographic evaluation included computerized tomography scanning and plain flexion-extension radiography. Fusion was demonstrated in all but one patient without reconstruction-related complications. The single complication involved an endplate VB fracture with pistoning of the cage into the VB. The mean follow-up period was 12.9 months. Conclusions. Autologous corpectomy bone-filled titanium cages supplemented with ACPs are an effective means of reconstruction after compressive cervical corpectomy. This technique provides a reasonable alternative to procedures involving long solid strut grafts obtained from the bone bank or from the patient.
Original language | English (US) |
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Pages (from-to) | 3-7 |
Number of pages | 5 |
Journal | Journal of neurosurgery |
Volume | 99 |
Issue number | 1 SUPPL. |
DOIs | |
State | Published - Jul 1 2003 |
Keywords
- Cervical spine corpectomy
- Reconstruction
- Spinal fusion
- Titanium cage
ASJC Scopus subject areas
- Surgery
- Clinical Neurology