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Reconstructive Techniques Study After Anterior Decompression of Multilevel Cervical Spondylotic Myelopathy

Reconstructive Techniques Study After Anterior Decompression of Multilevel Cervical Spondylotic... ORIGINAL ARTICLE Reconstructive Techniques Study After Anterior Decompression of Multilevel Cervical Spondylotic Myelopathy Xu Wei-bing, MD, PhD,* Shen Wun-Jer, MD, PhD,w Lv Gang, MD, PhD,z Zhu Yue, MD, PhD,z Jin Ming-xi, MD,z and Jia Lian-shun, MDy (P>0.05). There were 7 cases of graft/plate migrations or Study Design: Retrospectively compared 2 reconstructive dislodgments (17.9%) and 4 of these required revision surgery techniques after the anterior decompression of multilevel among 39 patients with corpectomy method, as compared with cervical spondylotic myelopathy. no graft/implant-related complications or nonunion among 20 patients with hybrid method (P<0.001). Objective: To clinically compare the biomechanical stability and neurologic results of 2 reconstructive techniques after the Conclusions: This study clearly demonstrates that, adequate anterior decompression of multilevel cervical spondylotic decompression can be achieved for the multilevel cervical myelopathy retrospectively. spondylotic myelopathy with both methods, and the hybrid method offers better biomechanical stability and fusion results Summary of Background Data: Previous studies comparing than the corpectomy method, and obviates the need for staged different reconstruction techniques after the anterior decom- circumferential procedures. pression of multilevel cervical spondylotic myelopathy have yielded mixed results. Some studies have reported a high Key Words: multilevel cervical spondylotic myelopathy, cor- incidence of graft-plate extrusion http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Spinal Disorders & Techniques Wolters Kluwer Health

Reconstructive Techniques Study After Anterior Decompression of Multilevel Cervical Spondylotic Myelopathy

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References (16)

ISSN
1536-0652
DOI
10.1097/BSD.0b013e3181a6a1fa
pmid
20075815
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Reconstructive Techniques Study After Anterior Decompression of Multilevel Cervical Spondylotic Myelopathy Xu Wei-bing, MD, PhD,* Shen Wun-Jer, MD, PhD,w Lv Gang, MD, PhD,z Zhu Yue, MD, PhD,z Jin Ming-xi, MD,z and Jia Lian-shun, MDy (P>0.05). There were 7 cases of graft/plate migrations or Study Design: Retrospectively compared 2 reconstructive dislodgments (17.9%) and 4 of these required revision surgery techniques after the anterior decompression of multilevel among 39 patients with corpectomy method, as compared with cervical spondylotic myelopathy. no graft/implant-related complications or nonunion among 20 patients with hybrid method (P<0.001). Objective: To clinically compare the biomechanical stability and neurologic results of 2 reconstructive techniques after the Conclusions: This study clearly demonstrates that, adequate anterior decompression of multilevel cervical spondylotic decompression can be achieved for the multilevel cervical myelopathy retrospectively. spondylotic myelopathy with both methods, and the hybrid method offers better biomechanical stability and fusion results Summary of Background Data: Previous studies comparing than the corpectomy method, and obviates the need for staged different reconstruction techniques after the anterior decom- circumferential procedures. pression of multilevel cervical spondylotic myelopathy have yielded mixed results. Some studies have reported a high Key Words: multilevel cervical spondylotic myelopathy, cor- incidence of graft-plate extrusion

Journal

Journal of Spinal Disorders & Techniques – Wolters Kluwer Health

Published: Oct 1, 2009

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