Complications of multilevel cervical corpectomies and reconstruction with titanium cages and anterior plating

被引:104
作者
Hee, HT
Majd, ME
Holt, RT
Whitecloud, TS
Pienkowski, D
机构
[1] Spine Surg PSC, Louisville, KY 40202 USA
[2] Tulane Univ, Med Ctr, New Orleans, LA 70118 USA
[3] Univ Kentucky, Lexington, KY 40506 USA
来源
JOURNAL OF SPINAL DISORDERS & TECHNIQUES | 2003年 / 16卷 / 01期
关键词
anterior cervical plating; bony consolidation; complications; multilevel cervical corpectomies; sagittal alignment; titanium cage;
D O I
10.1097/00024720-200302000-00001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The ideal surgical treatment of multilevel cervical spondylosis remains unclear. This study analyzed the complications in using titanium cages and plating to reconstruct multilevel cervical corpectomies. This was a retrospective analysis of 21 consecutive patients who had multilevel cervical corpectomies and reconstruction with titanium cages and anterior plating. Sixteen had 2-level, one had 2.5-level, three had 3-level, and one had 3.5-level corpectomies. All had reconstruction with titanium cages and anterior plating. Thirty-three percent of the patients developed complications. Radiographs revealed bony consolidation in 95% of patients. Reconstructing multilevel cervical corpectomes with titanium cages and plating is associated with complications. Advantages include rigid immobilization and the avoidance of iliac crest bone graft harvesting. Major complications are largely the result of failures of the cage and plate construct, especially in patients with osteopenic bone. Supplemental posterior stabilization may be considered for cases with spasticity or greater than 2-level corpectomies with profound osteoporosis.
引用
收藏
页码:1 / 9
页数:9
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