Using Titanium Mesh Cage and Anterior Cervical Plate for Cervical Corpectomies

Panchal, Ripul R.; Kim, Kee D.; Krel, Mark A.; Lopez, John; Shahlaie, Kiarash; Bobinski, Matthew

doi:10.4172/2325-9701.1000116

Cited by 1 publication

(6 citation statements)

References 45 publications

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“…The overall fusion rate was 98% and no pseudoarthrosis. This result is equivalent or superior to the results reported in reconstruction with anterior plate [7,10,17,22]. The subsidence rate was equivalent to reconstruction with anterior plate.…”

Section: Discussionsupporting

confidence: 59%

“…Screw breakage has been reported in 3.2% to 10% of cases with an anterior plate in the references [15,17]. In this study, screws broke more frequently (n=6, 12%) but did not affect the fusion rate or lead to complications.…”

Section: Discussionsupporting

confidence: 42%

“…The flanges play a key role in stability because they are used to position the TMC effectively in the anterior-most portion of the vertebral body. In contrast, the ends of a conventional strut graft lack such protrusions [17]. The location of a strut graft is important to the efficacy of the reconstruction [9].…”

Section: Discussionmentioning

confidence: 99%

“…The mean follow-up period was 16.8±13.7 months. Panchal et al [17] reported the clinical results of 91 patients who had undergone TMC with an anterior plate; of the patients, 27 (33.8%) were classified as excellent and 24 (30.0%) as good based on Odom’s criteria.…”

Section: Discussionmentioning

confidence: 99%

“…Complications associated with anterior cervical corpectomy and reconstruction have been well described in the literature, although their reported incidence varies widely among published series [14,17,23]. CSF leakage, hoarseness, and dysphagia are the most common complications [5,18].…”

Section: Discussionmentioning

confidence: 99%

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Surgical Reconstruction Using a Flanged Mesh Cage without Plating for Cervical Spondylotic Myelopathy and a Symptomatic Ossified Posterior Longitudinal Ligament

Kang

Yang

et al. 2019

J Korean Neurosurg Soc

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Objective :We introduce innovative method of cervical column reconstruction and performed the reconstruction with a flanged titanium mesh cage (TMC) instead of a plate after anterior corpectomy for cervical spondylotic myelopathy (CSM) and an ossified posterior longitudinal ligament (OPLL). Methods : Fifty patients with CSM or OPLL who underwent anterior cervical reconstruction with a flanged TMC were investigated retrospectively. Odom's criteria were used to assess the clinical outcomes. The radiographic evaluation included TMC subsidence, fusion status, and interbody height. Thirty-eight patients underwent single-level and 12 patients underwent two-level corpectomy with a mean follow-up period of 16.8 months. Results : In all, 19 patients (38%) had excellent outcomes and 25 patients (50%) had good outcomes. Two patients (4%) in whom C5 palsy occurred were categorized as poor. The fusion rate at the last follow-up was 98%, and the severe subsidence rate was 34%. No differences in subsidence were observed among Odom's criteria or between the single-level and two-level corpectomy groups. Conclusion : The satisfactory outcomes in this study indicate that the flanged TMC is an effective graft for cervical reconstruction. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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