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Pseudomorbidity in iliac crest bone graft harvesting: the rise of rhBMP-2 in short-segment posterior lumbar fusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, it is clear that the autologous technique has serious and frequent problems. The other two studies in this issue look at the most common cited complication associated with posterior iliac crest bone graft (ICBG) harvesting, pain. (Source: The Spine Journal)
Source: The Spine Journal - October 21, 2009 Category: Orthopaedics Authors: Eugene J. Carragee, Christopher M. Bono, Gaetano J. Scuderi Tags: Editorial Source Type: journals

Posterior transpedicular corpectomy for malignant cervical spine tumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The goal of this study was to assess surgical clinical and radiographic outcomes of using a posterior transpedicular approach (posterolateral) for ventral malignant tumors of the cervical spine. Access to ventral lesions of the cervical spine can be challenging in patients with malignant tumors. Anterior approaches are the gold standard for ventral pathology in the cervical spine, however, there are cases, where a posterior approach is indicated due to multilevel disease, previous radiation, swallowing difficulty with difficulty in retraction of trachea and esophagus, and in cases where circumferent...
Source: European Spine Journal - October 13, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

A combined posterior, lateral, and anterior approach to ventrolaterally situated chordoma of the upper cervical spineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: When a direct posterior approach makes it difficult or impossible to reach tumors extending to the far lateral margins of the spine and soft tissues, the posterior-lateral approach described here allows excellent visualization and safe access with minimal neural retraction for treating these laterally situated lesions. We describe the surgical technique for a combined approach as an alternative to the direct posterior or anterior retropharyngeal approach. (Source: Surgical Neurology)
Source: Surgical Neurology - September 7, 2009 Category: Neurosurgery Authors: Seung-Jae Hyun, Seung-Chul Rhim, K. Daniel Riew Tags: Neoplasm Source Type: journals

Brown-Sequard-type myelopathy due to cervical disc herniation associated with severe carotid stenosis prompting rapid combined corpectomy and carotid endarterectomy under deep anticoagulant therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This case suggests that such a combined carotid endarterectomy and cervical corpectomy with fusion under anticoagulant and antiplatelet therapy is feasible. However, even if the unique clinical presentation of our patient led us to undertake such a surgical strategy, therapeutic decision in patients presenting with both severe carotid stenosis and cervical spinal cord compression should rely on a case-by-case analysis. (Source: The Spine Journal)
Source: The Spine Journal - September 1, 2009 Category: Orthopaedics Authors: Mehdi Laghmari, Benjamin Blondel, Philippe Metellus, Michel Bartoli, Stephane Fuentes, Gregoire Pech-Gourg, Tarek Adetchessi, Henry Dufour, Alain Branchereau, Francois Grisoli Tags: Case Reports Source Type: journals

Anterior neurodecompression of kyphotic spondylogenic myelopathy Ranawat grade III and posterior decompression of lordotic spine improve walking ability.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cervical spondylosis is common condition rarely associated with radiculomyelopathy which surgical treatment, according to meta-analysis, is not better than nonsurgical. Our hypothesis was that neurodecompression which type is chosen according to spinal alignment should result in better functional improvement comparing with nonsurgical treatment. Between January 1, 1998 and December 31, 2007 a total of 77 patients with spondylogenic myelopathy were selected for the study. The inclusion criteria were symptoms and signs of myelopathy Ranawat grade III. Exclusion criteria were amyotrophic lateral sclerosis (ALS) and multip...
Source: Collegium Antropologicum - September 1, 2009 Category: Epidemiology Authors: Margetić P, Elabjer E, Milosević M, Skoro I, Milanov B, Stancić M Tags: Coll Antropol Source Type: journals

Hybrid decompression technique and two-level corpectomy are effective treatments for three-level cervical spondylotic myelopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The optimal surgical strategy for multilevel cervical spondylotic myelopathy (CSM) has not been defined, and few comparative researches between hybrid decompression and multilevel corpectomy have been conducted. Here, we reported 28 patients of three-level CSM, of whom 12 underwent hybrid decompression and 16 two-level corpectomy, with each type of procedure chosen according to radiologic characteristics of those patients. Clinical and radiologic parameters of both groups showed various degrees of improvement. However, no statistically significant differences in Japanese Orthopedic Association (JOA) score improvement r...
Source: J Zhejiang Univ Sci ... - August 31, 2009 Category: Science Authors: Liu Y, Yu KY, Hu JH Tags: J Zhejiang Univ Sci B Source Type: journals

Comparison of ventral corpectomy and plate-screw-instrumented fusion with dorsal laminectomy and rod-screw-instrumented fusion for treatment of at least two vertebral-level spondylotic cervical myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of the article is to verify the hypothesis that the dorsal multilevel laminectomy and rod-screw-instrumented fusion (DLF) for multilevel spondylotic cervical myelopathy (MSCM) is less strenuous for patients, and less prone to perioperative complications, than ventral multilevel corpectomy and plate-screw-instrumented fusion (VCF), while clinical outcome is comparable. One hundred and three successive patients were treated for at least two vertebral-level MSCM, 42 of them by VCF and 61 by DLF. The two patients groups were retrospectively compared. VCF patients were slightly younger than DLF patients (62.5&...
Source: European Spine Journal - August 7, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Cervical surgical techniques for the treatment of cervical spondylotic myelopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Multiple approaches exist with similar near-term improvements; however, laminectomy appears to have a late deterioration rate that may need to be considered when appropriate. PMID: 19769492 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - July 31, 2009 Category: Neurosurgery Authors: Mummaneni PV, Kaiser MG, Matz PG, Anderson PA, Groff MW, Heary RF, Holly LT, Ryken TC, Choudhri TF, Vresilovic EJ, Resnick DK Tags: J Neurosurg Spine Source Type: journals

Cervical spine lateral approach for myeloradiculopathy: technique and pitfallsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The cervical lateral multilevel corpectomy/foraminotomy technique allows wide anterior decompression of the spinal cord and complete unilateral nerve root decompression preserving spinal stability and physiological spinal motion. (Source: Surgical Neurology)
Source: Surgical Neurology - July 15, 2009 Category: Neurosurgery Authors: Salvatore Chibbaro, Giuseppe Mirone, Damian Bresson, Bernard George Tags: Techique Source Type: journals

Differences between subtotal corpectomy and laminoplasty for cervical spondylotic myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
& T Yamamoto (Source: Spinal Cord)
Source: Spinal Cord - July 14, 2009 Category: Research Authors: S ShibuyaS KomatsubaraS OkaY KandaN ArimaT Yamamoto Source Type: journals

Brucella cervical spondylitis complicated by spinal cord compression: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A case of 65-year-old farmer who presented with Brucella-related cervical spondylitis is described. Because of the advanced form of the infection resulted in neurological impairment, cervical vertebra corpectomy and debridement of the paravertebral granulomatous tissue deposits were performed followed by stabilization with anterior plating and bone grafting. In addition, double antimicrobial chemotherapy regimen was administered for 12 weeks. After one year, follow up evaluation demonstrated resolution of the infection. The authors recommend that brucellosis should be included in the differential diagnosis of cervical spon...
Source: Cases Journal - July 8, 2009 Category: Journals (General) Source Type: journals

Donor-site complications of autogenous nonvascularized fibula strut graft harvest for anterior cervical corpectomy and fusion surgery: experience with 163 consecutive casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Background context: The fibula is a source of bone graft for reconstruction of the appendicular and axial skeleton.Purpose: The aim of this study is to determine donor-site complications and morbidity in a large series of patients who underwent autogenous fibula harvesting for anterior cervical corpectomy and fusion (ACCF) surgery.Study design/setting: Retrospective review (Level III).Patient sample: One hundred sixty-three patients over an eight-year period who underwent ACCF with autogenous fibula.Outcome measures: Donor site complications (such as infection, cellulitis, pain, damage to the superficial peroneal...
Source: The Spine Journal - June 14, 2009 Category: Orthopaedics Authors: Ahmad Nassr, Mustafa H. Khan, Mir H. Ali, Michael T. Espiritu, Steven E. Hanks, Joon Y. Lee, William F. Donaldson, James D. Kang Tags: Clinical Studies Source Type: journals

Diagnosis and surgery of ossification of posterior longitudinal ligament associated with dural ossification in the cervical spineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reviewed 138 patients who received anterior cervical corpectomy and fusion (ACCF) for OPLL, and 40 patients were found in the association with DO during anterior procedure. Radiological studies revealed that the patients with severe OPLL (higher occupying rate and larger extent) have increasing opportunity of association with DO. The double-layer sign, as a specific indicator for association with DO was sensitive in the patients with mild OPLL, but less frequent in those with severe OPLL with DO. Two surgical techniques were used for the patients with DO in anterior decompression procedure. When the double-...
Source: European Spine Journal - May 19, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Anterior subaxial cervical spine fixation using a plate with single screw per vertebral body: A simple and efficient construct - Clinical series and a cadaver studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion:</b> A conservative construct utilizing a single screw per vertebral body and a one-holed plate system appears to be strong enough to afford stability in both traumatic and nontraumatic lesions of subaxial cervical spine, comparable to others. (Source: Neurology India)
Source: Neurology India - May 15, 2009 Category: Neurology Authors: Vannemreddy Prasad SSV, Ogden Alan, Mukherjee Debi Source Type: journals

Functional outcome of corpectomy in cervical spondylotic myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions:</b> Cervical corpectomy is a reliable and rewarding procedure for CSM, with functional improvement in most patients. (Source: Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1))
Source: Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1) - May 7, 2009 Category: Orthopaedics Authors: Williams Kanishka E, Paul Rajesh, Dewan Yashbir Source Type: journals

Multilevel oblique corpectomy without fusion in managing cervical myelopathy: long-term outcome and stability evaluation in 268 patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Multilevel oblique corpectomy was demonstrated to be a safe procedure that provided good results in terms of improved functional status and long-term spinal stability. PMID: 19442008 [PubMed - indexed for MEDLINE] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - April 30, 2009 Category: Neurosurgery Authors: Chibbaro S, Mirone G, Makiese O, George B Tags: J Neurosurg Spine Source Type: journals

Distal-type cervical spondylotic amyotrophy: incidence and outcome after central corpectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Distal-type CSA is a rare form of CSM that should be differentiated from motor neuron disease on the basis of subtle sensory symptoms or signs in the upper limbs, and the presence of significant cord compression on the MR imaging. Patient outcome after central corpectomy is good and long lasting. PMID: 19441997 [PubMed - indexed for MEDLINE] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 31, 2009 Category: Neurosurgery Authors: Srinivasa Rao NV, Rajshekhar V Tags: J Neurosurg Spine Source Type: journals

Pharyngocutaneous fistula after anterior cervical spine surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a 19 year old female who sustained a C6 burst fracture with complete quadriplegia. She was treated urgently with a C6 corpectomy with anterior cage and plating followed by posterior cervical stabilization at another institution. Post operatively she developed a pharyngocutaneous fistula that failed to heal despite several attempts of closure and esophageal exclusion with a Jpeg tube. The patient was eventually successfully treated with a three-stage procedure consisting of firstly a posterior approach to reinforce the posterior stabilization of the cervical spine that was felt to be inadequate,...
Source: European Spine Journal - March 28, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Comparative study of anterior versus posterior decompression in elderly patients of cervical myelopathy with co-morbid conditionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Anterior decompression is the gold standard. However, in medically unfit patients with multi-level circumferential compression laminectomy is an equally rewarding option. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00590-009-0444-8Authors Sudeep Jain, All India Institute of Medical Sciences New Delhi 79 First Floor, Raja Garden New Delhi 110015 IndiaSaurabh Singh, All India Institute of Medical Sciences New Delhi 79 First Floor, Raja Garden New Delhi 110015 IndiaAnil Kumar Joshi, All India Institute of Medical Sciences New Delhi 79 First Floor, Raja Garden New Delhi 110...
Source: European Journal of Orthopaedic Surgery & Traumatology - March 7, 2009 Category: Orthopaedics Tags: European Journal of Orthopaedic Surgery & Traumatology Source Type: journals

[Clinical application of expansive unilateral open-door laminoplasty of the cervical spine with OsteoMed M3 plate and screws.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Unilateral open-door laminoplasty with OsteoMed M3 titanium plate and screw fixation can effectively maintain the expansion of the spinal canal and resist closure while preserving the spinal alignment and stability. This modified technique is easy to perform and is associated with a low complication rate. PMID: 19304533 [PubMed - in process] (Source: Journal of Southern Medical University)
Source: Journal of Southern Medical University - March 1, 2009 Category: Universities & Medical Training Authors: Hu KH, Jin AM, Wu Q, Xi XH, Lu HB, Duan Y, Li WJ Tags: Nan Fang Yi Ke Da Xue Xue Bao Source Type: journals

Spinal cord herniation after multilevel anterior cervical corpectomy and fusion for ossification of the posterior longitudinal ligament of the cervical spine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors report the case of a 52-year-old man who had undergone resection of an ossified posterior longitudinal ligament via the anterior approach. The patient experienced postoperative neurological deterioration that may have been caused by a massive cord herniation associated with a dural defect at the corpectomy site. Spinal cord herniation may develop as a complication of anterior cervical decompression. Surgeons should be alert to this condition when planning to treat cervical ossification of the ossified posterior longitudinal ligament via the anterior approach. PMID: 19320584 [PubMed - in process] (Source...
Source: Journal of Neurosurgery.Spine - March 1, 2009 Category: Neurosurgery Authors: Min JH, Jung BJ, Jang JS, Kim SK, Jung DJ, Lee SH Tags: J Neurosurg Spine Source Type: journals

Comparison between anterior cervical discectomy fusion and cervical corpectomy fusion using titanium cages for reconstruction: analysis of outcome and long-term follow-upEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Retrospective comparative study of 80 consecutive patients treated with either anterior cervical discectomy fusion (ACDF) or anterior cervical corpectomy fusion (ACCF) for multi-level cervical spondylosis. To compare clinical outcome, fusion rates, and complications of anterior cervical reconstruction of multi-level ACDF and single-/multi-level ACCF performed using titanium mesh cages (TMCs) filled with autograft and anterior cervical plates (ACPs). Reconstruction of the cervical spine after discectomy or corpectomy with titanium cages filled with autograft has become an acceptable alternative to bo...
Source: European Spine Journal - February 13, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Long-term Follow-up After Open-window Corpectomy in Patients With Advanced Cervical Spondylosis and/or Ossification of the Posterior Longitudinal Ligament.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 14DOI: 10.1097/BSD.0b013e31815f49feAuthors: Ozer, Ali Fahir MD *; Oktenoglu, Tunc MD *; Cosar, Murat MD +; Sasani, Mehdi MD *; Sarioglu, Ali Cetin MD * (Source: Journal of Spinal Disorders & Techniques)
Source: Journal of Spinal Disorders & Techniques - February 4, 2009 Category: Surgery Tags: Abstract HTML PDF (240 K) Source Type: journals

Analysis of Reoperations after Surgical Treatment of Degenerative Cervical Spine Disorders: A Report on 900 Cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The influence of the fusion length on the revision rate was unexpectedly high. Adjacent level decompensation was neither influenced by the length of the fusion nor the performed procedure. Compared to anterior instrumentation, posterior instrumentation showed a tendency for a lower revision rate without statistical significance. However, the posterior procedures showed a high revision rate regarding to wound healing problems. PMID: 19191203 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Neurochirurgie)
Source: Zentralblatt fur Neurochirurgie - February 3, 2009 Category: Neurosurgery Authors: Greiner-Perth R, Allam Y, El-Saghir H, Röhl F, Franke J, Böhm H Tags: Zentralbl Neurochir Source Type: journals

Posterior transpedicular corpectomy and reconstruction of the axial vertebra for metastatic tumor.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Management of metastatic disease is a significant challenge in modern spinal surgery. Previously, radiation therapy alone was the most commonly employed treatment. Recent data, however, suggest that surgical decompression in addition to radiation therapy improves functional recovery compared with radiation therapy alone. Metastatic disease most commonly affects the thoracic spine. Over the past decade surgical treatment has changed significantly for thoracic disease, shifting from transthoracic resection and reconstruction to single-stage posterolateral approaches that allow transpedicular resection and reconstruction....
Source: Journal of Neurosurgery.Spine - February 1, 2009 Category: Neurosurgery Authors: Ames CP, Wang VY, Deviren V, Vrionis FD Tags: J Neurosurg Spine Source Type: journals

Degenerative spondylolisthesis of the cervical spine: analysis of 58 patients treated with anterior cervical decompression and fusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Degenerative spondylolisthesis is relatively common in the cervical spine. Common to all cases is facet arthropathy and neurologic compression. Anterior cervical decompression and arthrodesis appears to yield excellent union rates and neurological improvement in those patients having cervical degenerative spondylolisthesis and significant neurological sequelae who have failed nonoperative treatments. (Source: The Spine Journal)
Source: The Spine Journal - December 29, 2008 Category: Orthopaedics Authors: Clayton L. Dean, Josue P. Gabriel, Ezequiel H. Cassinelli, Michael J. Bolesta, Henry H. Bohlman Tags: Clinical Studies Source Type: journals

Circumferential fusion for cervical kyphotic deformity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions In cases of cervical kyphosis, management with decompression, osteotomy, and stabilization from both anterior and posterior approaches can restore cervical lordosis. Furthermore, such surgical techniques can produce measurable improvements in neurological function (as measured with Nurick grades and mJOA scores) and achieve high fusion rates. However, there is a significant rate of complications. PMID: 19035741 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - November 29, 2008 Category: Neurosurgery Authors: Mummaneni PV, Dhall SS, Rodts GE, Haid RW Tags: J Neurosurg Spine Source Type: journals

Cervical Intradural Ventral Arachnoid Cyst Resected Via Anterior Corpectomy With Reconstruction: A Case Report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: For purely ventral cervical intradural arachnoid cysts, which compress the spinal cord dorsally, an anterior approach can allow access to the lesion without any need for intraoperative manipulation of the spinal cord. For such cases, the anterior approach prevents the consequent risk of neurological injury due to posterior approaches. PMID: 18814111 [PubMed - as supplied by publisher] (Source: Turkish Neurosurgery)
Source: Turkish Neurosurgery - September 26, 2008 Category: Neurosurgery Authors: Muhammedrezaı S, Ulu MO, Tanriöver N, Moghaddam AM, Akar Z Tags: Turk Neurosurg Source Type: journals

Pharyngoesophageal diverticulum following cervical corpectomy and plating. Case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This case of a pharyngoesophageal diverticulum was diagnosed 3 years after a corpectomy and fusion for a cervical fracture. The diverticulum was excised, the plate and screws were removed, and the patient was asymptomatic 3 years later. The dense scar tissue around the hardware probably caused traction on the posterior pharyngoesophageal region, followed by development of the diverticulum. The authors speculate that the malpositioning of the hardware was an irritative factor promoting such a scar. To the best of their knowledge, this is the first reported case of pharyngoesophageal diverticulum following cervical corpe...
Source: Journal of Neurosurgery.Spine - September 1, 2008 Category: Neurosurgery Authors: Joanes V, Belinchón J Tags: J Neurosurg Spine Source Type: journals

Anterior approach to cervical intramedullary pilocytic astrocytoma. Case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although there has been considerable experience with anterior approaches to ventral intradural, extramedullary, and pial-based spinal lesions, there is no information in the literature regarding the safety and feasibility of the resection of an intramedullary tumor via an anterior approach. The authors report on the gross-total resection of an intramedullary cervical pilocytic astrocytoma via a C-7 corpectomy and anterior myelotomy. The surgery proceeded without complication, and postoperatively the patient maintained the preoperative deficit of mild unilateral hand weakness but had no sensory deficits. Follow-up MR im...
Source: Journal of Neurosurgery.Spine - September 1, 2008 Category: Neurosurgery Authors: Ogden AT, Feldstein NA, McCormick PC Tags: J Neurosurg Spine Source Type: journals

Correlation between change in graft height and change in segmental angle following central corpectomy for cervical spondylotic myelopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Among patients undergoing uninstrumented CC for CSM, there is a significant correlation between postoperative settling and kyphotic change across fused segments in those who had straight or kyphotic cervical spines or segments preoperatively but not in those who had lordotic cervical spines or segments preoperatively. A more vigorous surgical correction of the segmental kyphosis than achieved in this study might have caused the kyphotic segments to behave like the lordotic segments. Paraspinal muscles and ligaments may play a role in determining the segmental angle as graft settling in patients with lordotic sp...
Source: Journal of Neurosurgery.Spine - August 1, 2008 Category: Neurosurgery Authors: Thakar S, M Ch , Vedantam A, Rajshekhar V Tags: J Neurosurg Spine Source Type: journals

Surgical treatment of cervical spondylotic myelopathy with anterior compression: a review of 67 cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Significant improvement in Nurick grade can be achieved in patients who undergo anterior surgery for cervical myelopathy for primarily ventral disease or loss of cervical lordosis. In selected high-risk patients who undergo multilevel ventral decompression, supplemental posterior fixation and arthrodesis allows for low rates of construct failure with acceptable added morbidity. PMID: 18764747 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - August 1, 2008 Category: Neurosurgery Authors: Gok B, Sciubba DM, McLoughlin GS, McGirt M, Ayhan S, Wolinsky JP, Bydon A, Gokaslan ZL, Witham TF Tags: J Neurosurg Spine Source Type: journals

Effects of Disc Height and Distractive Forces on Graft Compression in an Anterior Cervical Corpectomy Model.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The role of defect and graft size on compressive loading of strut grafts was tested in 17 cadaveric cervical specimens using a calibrated Caspar distractor and subminiature load cells. Although defect size did not predict graft loading, increases in strut graft height led to significant increases in graft compressive loads.Page: 1438DOI: 10.1097/BRS.0b013e318175c315Authors: Truumees, Eeric MD +; Demetropoulos, Constantine K. PhD +; Yang, King H. PhD *; Herkowitz, Harry N. MD + (Source: Spine)
Source: Spine - May 31, 2008 Category: Orthopaedics Tags: Abstract HTML PDF (380 K) Source Type: journals

Long-term Biomechanical Stability and Clinical Improvement After Extended Multilevel Corpectomy and Circumferential Reconstruction of the Cervical Spine Using Titanium Mesh Cages.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 165DOI: 10.1097/BSD.0b013e3180654205Authors: Acosta, Frank L. Jr MD; Aryan, Henry E. MD; Chou, Dean MD; Ames, Christopher P. MD (Source: Journal of Spinal Disorders & Techniques)
Source: Journal of Spinal Disorders & Techniques - May 6, 2008 Category: Surgery Tags: Abstract HTML PDF (275 K) Source Type: journals

Cerebrospinal Fluid Leaks Following Cervical Spine SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Many cervical dural tears can be managed by observation alone or by placement of a lumbar cerebrospinal fluid shunt either during the index procedure or in the postoperative period. At an average follow-up of 5.4 years, there were no long-term sequelae of the cervical dural tears in our series. Level of Evidence: Prognostic Level II. See Instructions to Authors for a complete description of levels of evidence. (Source: JBJS [Am])
Source: JBJS [Am] - May 1, 2008 Category: Orthopaedics Authors: Hannallah, D., Lee, J., Khan, M., Donaldson, W. F., Kang, J. D. Tags: Spine Scientific Articles Source Type: journals

Cervical fusion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The anticipated fusion rate is one of several factors that may guide surgical decision making. Anterior cervical decompression and fusion results in high fusion rates. The results of the authors' study show that regardless of the number of levels fused, the use of an anterior cervical plate system significantly increases the fusion rate. For two-disc-level disease, there was no significant difference between ACD with a plate system or corpectomy with a plate system. For three-disc-level disease, however, the evidence suggests that corpectomy with plate placement is associated with higher fusion rates than disce...
Source: Journal of Neurosurgery.Spine - May 1, 2008 Category: Neurosurgery Authors: Delong WB, Polissar N, Neradilek B Tags: J Neurosurg Spine Source Type: journals

Cerebrospinal fluid leaks following cervical spine surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Many cervical dural tears can be managed by observation alone or by placement of a lumbar cerebrospinal fluid shunt either during the index procedure or in the postoperative period. At an average follow-up of 5.4 years, there were no long-term sequelae of the cervical dural tears in our series. PMID: 18451403 [PubMed - indexed for MEDLINE] (Source: The Journal of Bone and Joint Surgery. American volume)
Source: The Journal of Bone and Joint Surgery. American volume - May 1, 2008 Category: Orthopaedics Authors: Hannallah D, Lee J, Khan M, Donaldson WF, Kang JD Tags: J Bone Joint Surg Am Source Type: journals

Anterior pedicle screw fixation for multilevel cervical corpectomy and spinal fusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The insertion of APSs is feasible and safe. APS fixation enables us to obtain rigid fixation anteriorly, and we propose that APS fixation is an attractive option for multilevel cervical corpectomy and fusion. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00701-008-1574-1Authors M. Aramomi, Chiba University Graduate School of Medicine Spine Section, Department of Orthopaedic Surgery Chuo-ku Chiba JapanY. Masaki, Chiba University Graduate School of Medicine Spine Section, Department of Orthopaedic Surgery Chuo-ku Chiba JapanS. Koshizuka, Chiba University Graduate School of Medicine Sp...
Source: Acta Neurochirurgica - April 23, 2008 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

Cervical spondylotic myelopathy treated by oblique corpectomy: a prospective study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 674DOI: 10.1227/01.neu.0000317316.56235.a7Authors: Kiris, Talat M.D.; Kilincer, Cumhur M.D. (Source: Neurosurgery)
Source: Neurosurgery - April 19, 2008 Category: Neurosurgery Tags: Abstract HTML PDF (1.3 M) Source Type: journals

Anterior corpectomy and fusion for severe ossification of posterior longitudinal ligament in the cervical spineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Between May 2002 and October 2006, 19 patients (17 men and 2 women; average age 57.2; range 47–71 years) received anterior corpectomy and fusion for severe ossification of the posterior longitudinal ligament (OPLL) in our department. Preoperative radiological evaluation showed the narrowing by the OPLL exceeded 50% in all cases, and OPLL extended from one to three vertebrae. We followed-up all patients for 12–36 months (mean 18 months). The Japanese Orthopaedic Association (JOA) score before surgery was 9.3 ± 1.8 (range 5–12) which significantly increased to 14.2 ± 1.3...
Source: International Orthopaedics - April 12, 2008 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Laser-Assisted Anterior Cervical Corpectomy versus Posterior Laminoplasty for Cervical Myelopathic Patients with Multilevel Ossification of the Posterior Longitudinal LigamentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reports on the comparative results of a series of patients with multilevel cervical ossification of the posterior longitudinal ligament (OPLL) who were treated with laser-assisted anterior corpectomy or laminoplasty. ... (Source: Photomedicine and Laser Surgery)
Source: Photomedicine and Laser Surgery - March 16, 2008 Category: Laser Surgery Tags: article Source Type: journals

Anterior corpectomy approach for removal of a cervical intradural schwannoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18380288 [PubMed - indexed for MEDLINE] (Source: The Canadian Journal of Neurological Sciences)
Source: The Canadian Journal of Neurological Sciences - March 1, 2008 Category: Neurology Authors: Casha S, Xie JC, Hurlbert RJ Tags: Can J Neurol Sci Source Type: journals

Anterior Corpectomy With Iliac Bone Fusion or Discectomy With Interbody Titanium Cage Fusion for Multilevel Cervical Degenerated Disc Disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 565DOI: 10.1097/BSD.0b013e318036b463Authors: Hwang, Shiuh-Lin MD, PhD *; Lee, Kung-Shing MD *; Su, Yu-Feng MD *; Kuo, Tai-Hung MD +; Lieu, Ann-Shung MD *; Lin, Chih-Lung MD *; Howng, Shen-Long MD, PhD *; Hwang, Yan-Feng MD * (Source: Journal of Spinal Disorders & Techniques)
Source: Journal of Spinal Disorders & Techniques - November 29, 2007 Category: Surgery Tags: Abstract HTML PDF (221 K) Source Type: journals

Mediastinal migration of distal occipito-thoracic instrumentationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the occurrence and management of mediastinal migration of the distal aspect of a posterior occipito-thoracic screw–rod construct. No similar occurrence was found in the literature. This event occurred following an emergency tracheotomy (requiring neck hyperextension) in a patient with severe rheumatoid arthritis, who had previously undergone decompression and an Occiput-T2 instrumented fusion for cranio-cervical and sub-axial cervical spine instability. Imaging showed fracture-subluxation of T1/2 and T2/3 with the bilateral C7, T1 and T2 screws in the mediastinum causing tracheal and esophageal compression...
Source: European Spine Journal - November 14, 2007 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Surgical results of anterior corpectomy in the aged patients with cervical myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Retrospective study on the results of anterior corpectomy for the treatment of cervical myelopathy in patients over 70 years old. To evaluate the surgical results of anterior corpectomy in aged patients with multilevel cervical myelopathy and to investigate the probable pathomechanism by radiographic study. There are few data focused on the surgical results and post-operative complications of anterior corpectomy in aged patients with cervical myelopathy. Twenty patients 70 years of age or older who underwent anterior corpectomy, titanium mesh cage (TMC) reconstruction and anterior plate fi...
Source: European Spine Journal - October 31, 2007 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Multilevel Cervical Oblique Corpectomy in the Treatment of Ossified Posterior Longitudinal Ligament in the Presence of Ossified Anterior Longitudinal Ligament.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the utility of the oblique corpectomy in 3 patients who presented with cervical myelopathy caused by OPLL in whom a coexistent OALL was asymptomatic. The oblique corpectomy, by virtue of its anterolateral approach, facilitated the removal of the OPLL while preserving the OALL, thus avoiding complex reconstructive procedures.Page: E575DOI: 10.1097/BRS.0b013e31814b84feAuthors: Chacko, Ari G. MCh; Daniel, Roy T. MCh (Source: Spine)
Source: Spine - September 15, 2007 Category: Orthopaedics Tags: Abstract HTML PDF (562 K) Source Type: journals

Successful treatment of extended epidural abscess and long segment osteomyelitis: a case report and review of the literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: This case illustrates that spinal instrumentation is not an absolute contraindication in the presence of epidural abscesses and vertebral osteomyelitis. Combined surgical debridement at a critical level, with adjuvant antibiotics and hyperbaric oxygenation, is a safe and effective therapy in those with neurologic deficits, spinal instability, and extended epidural abscess. PMID: 17825364 [PubMed - as supplied by publisher] (Source: Surgical Neurology)
Source: Surgical Neurology - September 5, 2007 Category: Neurosurgery Authors: Chang WC, Tsou HK, Kao TH, Yang MY, Shen CC Tags: Surg Neurol Source Type: journals

Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures: cadaveric feasibility studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Based on our cadaveric study, such a bony substitute as autologous clavicle might be a reasonable alternative to the iliac crest for use in anterior cervical fusion procedures. Content TypeJournal Article JournalChild's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)
Source: Child's Nervous System - July 18, 2007 Category: Pediatrics Tags: Child's Nervous System Source Type: journals