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Complications of Multilevel Cervical Corpectomies and Reconstruction With Titanium Cages and Anterior Plating

 

作者: Hwan Hee,   Mohammad Majd,   Richard Holt,   Thomas Whitecloud,,   David Pienkowski,  

 

期刊: Journal of Spinal Disorders & Techniques  (OVID Available online 2003)
卷期: Volume 16, issue 1  

页码: 1-8

 

ISSN:1536-0652

 

年代: 2003

 

出版商: OVID

 

关键词: Anterior cervical plating;Bony consolidation;Complications;Multilevel cervical corpectomies;Sagittal alignment;Titanium cage

 

数据来源: OVID

 

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 corpectomies 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.

 



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