Anterior decompression and plate fixation in treatment of cervical myelopathy: A multicentric retrospective review

Doria, Carlo; Mosele, Giulia Raffaella; Balsano, Massimo; Maestretti, Gianluca; Caggiari, Gianfilippo

doi:10.1016/j.aott.2017.12.003

Cited by 8 publications

(25 citation statements)

References 28 publications

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“…As far as pain, medication usage, and return to activities, 62 reported excellent results, 48 reported good, and 4 reported satisfactory results. 23 …”

Section: Discussionmentioning

confidence: 99%

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

et al. 2021

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BACKGROUND Expandable cages are often used to reconstruct cervical corpectomies but there are few long-term follow-up studies with large numbers. OBJECTIVE To analyze the clinical and radiographic results of cervical corpectomy reconstructed with expandable cages for degenerative stenosis. METHODS We performed a retrospective analysis of 78 patients with degenerative cervical stenosis treated with a corpectomy reconstructed with an expandable cage. We evaluated the clinical and radiographic outcomes, as well as complications of the procedure at a minimum 2-yr follow-up. RESULTS There was a decrease in the visual analog scale pain average from 75 mm to 8.5 mm (P = .02); a decrease in the Neck Disability Index average from 55% to 12% (P = .009); and improvement in the Japanese Orthopaedic Association average from 12 to 14 points (P = .01). There was a change in cervical lordosis (Cobb method) average from −9.3° to −15.1° (P = .002), without significant loss of lordosis (P = .63). The fusion rate, by criteria of the Cervical Spine Research Society (CSRS), was low: using dynamic X-rays – 50% (n = 39/78) and using computed tomography (CT) – 47.4% (n = 37/78). A total of 11 patients (14.1%) suffered complications. CONCLUSION To our knowledge, this is the largest series (78) with a minimum 2-yr follow-up in the literature and the first using the dynamic radiographic and CT criteria endorsed by the CSRS. Using these criteria, our fusion rates were much lower than all previous reports in the literature. Despite this, patient-reported outcomes were reasonable. There was a relatively low incidence of perioperative complications, most of which were likely not implant-specific and there was only 1 case of implant failure.

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“…As far as pain, medication usage, and return to activities, 62 reported excellent results, 48 reported good, and 4 reported satisfactory results. 23 …”

Section: Discussionmentioning

confidence: 99%

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

et al. 2021

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“…El tratamiento quirúrgico se ha enfocado en la descompresión de la médula espinal, evitar la progresión del deterioro neurológico y promover la recuperación. 9 En las distintas revisiones los pacientes mostraron una mejoría tanto de la lordosis cervical como de la altura discal (Figura 1) en comparación con los resultados preoperatorios (Figura 2). Se encontraron estudios realizados con placa e injerto, mejoría en el ángulo de Cobb y en la altura intersomática (p = 0.038 y p = 0.0004, respectivamente).…”

Section: Discussionunclassified

“…8 Las distintas técnicas utilizadas de fijación, así como los tipos de implantes empleados y el número de niveles intervenidos, se han discutido ampliamente y han evolucionado a través del tiempo con el objetivo de obtener mejores resultados y menor número de complicaciones. 8,9 La discectomía cervical anterior ha sido el procedimiento que más se utiliza globalmente debido a que se realiza una incisión mínima que permite la visualización y resección directa del disco intervertebral, además de registrar menor número de complicaciones y una recuperación rápida. 9…”

Section: Wwwmedigraphicorgmxunclassified

Descompresión anterior y fijación con cajas autobloqueantes en columna cervical

Gutiérrez¹,

García-Ramos²,

Olivarez³

et al. 2022

Ortho-Tips

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Introducción: La mielopatía cervical se define como el daño de la médula espinal debido a cambios degenerativos de la columna cervical. Además, es la causa más común de disfunción medular en pacientes mayores de 55 años, por lo tanto, el entendimiento de la patología y su manejo oportuno es importante. En esta revisión nos enfocamos en el manejo quirúrgico y los cambios del mismo desde su inicio hasta el manejo actual, incluyendo nuestra experiencia en el Instituto Nacional de Rehabilitación. Material y métodos: Se realizó una extensa revisión de la literatura publicada con enfoque principal en el manejo quirúrgico actual de la patología. Resultados: La presentación clínica y la historia natural de la enfermedad es variable; sin embargo, debido al deterioro neurológico que presentan estos pacientes, el tratamiento quirúrgico oportuno es esencial. La discectomía y fusión cervical anterior (DFCA) es el procedimiento quirúrgico habitual para conseguir la descompresión de los elementos neurales de la columna cervical. El tipo de implantes que más se utilizan son las cajas de PEEK (polyether ether ketone) obteniendo resultados clínicos y radiográficos significativos; sin embargo, aún se debate sobre el número de niveles. Conclusiones: La DFCA multinivel con cajas de PEEK es actualmente una de las técnicas más utilizadas con resultados clínicos y radiográficos significativos, los cuales se traducen en una mejor calidad de vida para los pacientes; sin embargo, aún se deben realizar más estudios que nos permitan mejorar esta técnica quirúrgica y evitar posibles complicaciones.

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“… 34 , 35 Cervical myeloradiculopathy joins into differential diagnosis with CMC because of nerve root compression and pain with weakness, hyporeflexia, and muscle atrophy. 36 The x-rays showed osteophytes, geodes, and disappearance of the joint line, with static subluxation. The Scapho-trapezial joint was always affected, while the trapezial-trapezoid was in 40% of the cases.…”

Section: Methodsmentioning

confidence: 97%

Suspension arthroplasty in the treatment of thumb carpometacarpal osteoarthritis

Caggiari¹,

Polese²,

Rosetti³

et al. 2021

Orthop Rev (Pavia)

Self Cite

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Literature presents several examples of surgical techniques for the treatment of carpometacarpal osteoarthritis. In our study we used a modified Ceruso’s suspended arthroplasty technique. In this study, 53 patients from 2011 to 2017 underwent arthroplasty with trapezius excision and suture suspension between abductor pollicis longus and flexor carpi radialis. The average age at surgery was 69, the participants were 43 women and 10 men. The average total operation time was 59 minutes. The modified CMC suspension arthroplasty technique provides excellent results compared with those in the literature.

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Anterior decompression and plate fixation in treatment of cervical myelopathy: A multicentric retrospective review

Cited by 8 publications

References 28 publications

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

Descompresión anterior y fijación con cajas autobloqueantes en columna cervical

Suspension arthroplasty in the treatment of thumb carpometacarpal osteoarthritis

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