Surgical Reconstruction Using a Flanged Mesh Cage without Plating for Cervical Spondylotic Myelopathy and a Symptomatic Ossified Posterior Longitudinal Ligamentopen access
- Authors
- Kang, Jung Hoon; Im, Soo-Bin; Yang, Sang-Mi; Chung, Moonyoung; Jeong, Je Hoon; Kim, Bum-Tae; Hwang, Sun-Chul; Shin, Dong-Seong; Park, Jong-Hyun
- Issue Date
- Nov-2019
- Publisher
- 대한신경외과학회
- Keywords
- Cervical vertebrae; Ossification of posterior longitudinal ligament; Spondylosis; Titanium
- Citation
- Journal of Korean Neurosurgical Society, v.62, no.6, pp 671 - 680
- Pages
- 10
- Journal Title
- Journal of Korean Neurosurgical Society
- Volume
- 62
- Number
- 6
- Start Page
- 671
- End Page
- 680
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4121
- DOI
- 10.3340/jkns.2019.0060
- ISSN
- 2005-3711
1598-7876
- Abstract
- 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.
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Collections - College of Medicine > Department of Neurosurgery > 1. Journal Articles
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