American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2015, 3(12), 406-409
DOI: 10.12691/ajmcr-3-12-6
Open AccessA Clinical Study

Comparison of the Efficacy of Multi Level Cervical Discectomy and Corpectomy Using Titanium Cage with and without Anterior Cervical Plate

Ali Mahad Musallam Al-Mashani1, Santosh Lad1, Neeraj Salhotra1, Azmat Ali1, Rashid M Khan2, and Naresh Kaul2

1Department of Neurosurgery, Khoula Hospital, Muscat, Sultanate of Oman

2Department of Anesthesia & ICU, Khoula Hospital, Muscat, Sultanate of Oman

Pub. Date: November 24, 2015

Cite this paper:
Ali Mahad Musallam Al-Mashani, Santosh Lad, Neeraj Salhotra, Azmat Ali, Rashid M Khan and Naresh Kaul. Comparison of the Efficacy of Multi Level Cervical Discectomy and Corpectomy Using Titanium Cage with and without Anterior Cervical Plate. American Journal of Medical Case Reports. 2015; 3(12):406-409. doi: 10.12691/ajmcr-3-12-6

Abstract

Cervical corpectomy/discectomy is a well-recognized treatment option for multilevel anterior compression of the cervical spinal cord. We undertook a retrospective study of 47 patients treated with anterior cervical discectomy/corpectomy fusion for multi-level cervical spondylosis. Titanium mesh was placed in all patients with (Anterior cervical plate group: n= 25) or without anterior cervical plate (Non-anterior cervical plate group: n= 22)). The study objective was to compare the role of anterior cervical plate on clinical outcome, fusion rates, and complications if any after anterior cervical discectomy/corpectomy. At an average follow up time of 7 months after the surgery, we did not observe any significant difference in clinical outcome as per Odom’s score or bony fusion between the two groups (p>0.05). The bony fusion rate was 59.1% and 68.0% with and without ACP respectively. The finding of this study suggests that presence of anterior cervical plate does not contribute to better Odom’s score or bony fusion.

Keywords:
cervical corpectomy titanium mesh cage anterior cervical plate fusion

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References:

[1]  Panchal RR, Kim KD, Krel MA,Lopez J, Shahaie K, Bobinski M. Using titanium mesh cage and anterior cervical plate for cervical corpectomies. J Spine Neurosurg 2013; 2:4.
 
[2]  Uribe JS, Sangala JR, Duckworth EAM, Vale FL. Comparison between anterior cervical discectomy fusion and cervical corpectomy fusion using titanium cages for reconstruction: analysis of outcome and long-term follow-up. Eur Spine J 2009; 18: 654-662.
 
[3]  Silber JS, Anderson DG, Daffner SD, et al. Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion. Spine 2003; 28:134-139.
 
[4]  Alperin N, Hushek SG, Lee SH, Sivaramakrishnan A, Lichtor T. MRI study of cerebral blood flow and CSF flow dynamics in an upright posture: the effect of posture on the intracranial compliance and pressure. ActaNeurochir 2005; Suppl 95: 177-181.
 
[5]  Topalovic M, Kroppenstedt S, Cabraja M. The use of polymethy lmethacrylate in cervical spine surgery. Hard Tissue 2013; 2:24.
 
[6]  Schmieder K, Wolzik-Grossmann M, Pechlivanis I, et al. Subsidence of the wing titanium cage after anterior cervical interbody fusion: 2-year follow-up study. J Neurosurg Spine.2006; 4: 447-453.
 
[7]  Gercek E, Arlet V, Delisle J, et al. Subsidence of stand-alone cervical cages in anterior inter body fusion: warning. Eur Spine J 2003; 12: 513-516.
 
[8]  Song KJ, Yoon SJ, Lee KB. Three- and four-level anterior cervical discectomy and fusion with a PEEK cage and plate construct. Eur Spine J 2012; 21: 2492-2497.