Abstract
Anterior cervical corpectomy from C2 to T1 is being used to decompress the spinal cord and reconstruct the cervical spine. It is a well recognized treatment for degenerative, traumatic, tumoral, infectious cervical stenosis and/or instability. It has the advantage of allowing a thorough decompression and also improves fusion rates in cases in which multilevel decompression is needed.
In order to overcome the potential drawbacks of structural bone graft it is possible to use titanium plates and mesh cages with good results. The inconstant stability rate of the construct, with or without anterior plate, can justify supplementary posterior instrumentation in order to obtain circumferential reconstruction.
The author reports the successful outcome of a six-level-corpectomy across the spine with circumferential reconstruction in a patient with extensive chordoma of the cervical and upper thoracic spine. To the author’s knowledge this is the second report of a corpectomy extending across six levels of the cervico-thoracic spine.
An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-211-99370-5_40
An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-211-99370-5_40
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References
Epstein NE (2000) The value of anterior cervical plating in preventing vertebral fracture and graft extrusion after multilevel anterior cervical corpectomy with posterior wiring and fusion: indications, results, and complications. J Spinal Disord 13: 9–15.
Saunders RL, Pikus HJ, Ball P (1998) Four-level cervical corpectomy. Spine 23:2455–2461.
Kanayama M, Cunningham BW, Weis JC, Parker LM, Kaneda K, McAfee PC (1998) The effects of rigid spinal instrumentation and solid bony fusion on spinal kinematics. A posterolateral spinal arthrodesis model. Spine 23:767–773.
Kirkpatrick JS, Levy JA, Carillo J, Moeini SR (1999) Reconstruction after multilevel corpectomy in the cervical spine. A sagittal plane biomechanical study. Spine 24:1186–1190.
Macdonald RL, Fehlings MG, Tator CH, Lozano A, Fleming JR, Gentili F, Bernstein M, Wallace MC, Tasker RR (1997) Multilevel anterior cervical corpectomy and fibular allograft fusion for cervical myelopathy. J Neurosurg 86:990–997.
Swank ML, Lowery GL, Bhat AL, McDonough RF (1997) Anterior cervical allograft arthrodesis and instrumentation: multilevel interbody grafting or strut graft reconstruction. Eur Spine J 6:138–143.
Vaccaro AR, Falatyn SP, Scuderi GJ, Eismont FJ, McGuire RA, Singh K, Garfin SR (1998) Early failure of long segment anterior cervical plate fixation. J Spinal Disord 11:410–415.
Isomi T, Panjabi MM, Wang JL, Vaccaro AR, Garfin SR, Patel T (1999) Stabilizing potential of anterior cervical plates in multilevel corpectomies. Spine 24:2219–2223.
Fernyhough JC, White JI, LaRocca H (1991) Fusion rates in multilevel cervical spondylosis comparing allograft fibula with autograft fibula in 126 patients. Spine 16:S561–S564.
Zdeblick TA, Bohlman HH (1989) Cervical kyphosis and myelopathy. Treatment by anterior corpectomy and strut-grafting. J Bone Joint Surg Am 71:170–182.
Eck KR, Bridwell KH, Ungacta FF, Lapp MA, Lenke LG, Riew KD (2000) Analysis of titanium mesh cages in adults with minimum two-year follow-up. Spine 25:2407–2415.
Hoshijima K, Nightingale RW, Yu JR, Richardson WJ, Harper KD, Yamamoto H, Myers BS (1997) Strength and stability of posterior lumbar interbody fusion. Comparison of titanium fiber mesh implant and tricortical bone graft. Spine 22:1181–1188.
Majd ME, Vadhva M, Holt RT (1999) Anterior cervical reconstruction using titanium cages with anterior plating. Spine 24:1604–1610.
Singh K, Vaccaro AR, Kim J, Lorenz EP, Lim TH, An HS (2003) Biomechanical comparison of cervical spine reconstructive techniques after a multilevel corpectomy of the cervical spine. Spine 28:2352–2358.
Acosta FL Jr, Aryan HE, Ames CP (2006) Successful outcome of six level cervicothoracic corpectomy and circumferential reconstruction: case report and review of the literature on multilevel cervicothoracic corpectomy. Eur Spine J 15(suppl 17):670–674.
Luk KD, Cheung KMC, Leong JCY (2002) Antrior approach to he cervicothoracic junction by unilateralor bilateral manubriotomy. J Bone Joint Surg 84:1013–1017.
DiAngelo DJ, Foley KT, Vossel KA, Rampersaud YR, Jansen TH (2000) Anterior cervical plating reverses load transfer through multilevel strut-grafts. Spine 25:783–795.
Rhines LD, Fourney DR, Siadai A, Suk I, Gokaslan ZL (2005) En bloc resection of multilevel cervical chordoma with C2 involvement. J Neurosurg Spine 2:199–205.
Conflict of interest statement We declare that I have no conflict of interest.
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Massimiliano, V., Giulio, M. (2011). Six Level Cervico-Thoracic Circumferential Reconstruction: Report of the Second Case of the Literature. In: Alexandre, A., Masini, M., Menchetti, P. (eds) Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves. Acta Neurochirurgica Supplementum, vol 108. Springer, Vienna. https://doi.org/10.1007/978-3-211-99370-5_28
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