The rationale for this approach and surgical technique are discussed, as well as the advantages, disadvantages, complications, and pitfalls based on the authors experience over the last two decades. Longterm results of anterior cervical corpectomy and. Multilevel oblique corpectomies as an effective surgical. Comparison of multilevel oblique corpectomy with and without. Oblique cervical corpectomy in the management of unilateral. An anterior cervical corpectomy is a procedure performed when cervical disease encompasses more than just the disc space, such as multilevel cervical stenosis or spinal cord compression caused by bone spur growth. Multilevel cervical oblique corpectomy in the treatment of. Surgery involved anterior cervical exposure and partial oblique corpectomy, which was essentially an extended midline and lateral undercutting of the body. Comparison of multilevel oblique corpectomy with and. Limited oblique corpectomy for treatment of ossified posterior. The multilevel oblique corpectomy moc allows widening of the spinal canal and foramen trough via an anterolateral access to the cervical spine with control of.
Dec 02, 2009 cervical corpectomy and fusion anterior approach videoneurosurgery. Multilevel cervical oblique corpectomy andor lateral foraminotomy allow wide decompression of nervous structures, while maintaining optimal stability and. Anterior cervical corpectomy is a wellestablished procedure that has been used successfully in the. An anterior cervical corpectomy is a surgical procedure in which vertebral bone and intervertebral disc material is removed to relieve pressure on the spinal cord and spinal nerves decompression in the cervical spine, or neck. Surgical technique for the protection of the cervical.
Cervical corpectomy brief description of the procedure through an anterior, vertical incision, a discectomy is done on either side of the vertebral body to be removed is performed, followed by the removal of the vertebral body itself. To document the neurological outcome, spinal alignment and segmental range of movement after oblique cervical corpectomy occ for cervical compressive myelopathy. The oblique corpectomy according to goel was first described in 2005. The evidence of failure of long constructs has been investigated in biomechanical studies. Oblique corpectomy in the cervical spine request pdf. Anterior cervical corpectomy is often perfomed for multilevel cervical stenosis. The ap oblique cervical spine projections are supplementary views to the standard ap, odontoid and lateral cspine series. May 12, 2015 this feature is not available right now. Multilevel cervical oblique corpectomy andor lateral foraminotomy allow wide decompression of nervous structures, while maintaining optimal stability and physiological motion of the cervical spine. Oblique corpectomy to manage cervical myeloradiculopathy core. The cervical spine was stabilized with an anterior plating c2c4. It involves the removal of the vertebral body as well as the disc spaces at either end, to completely decompress the cervical canal.
Oblique corpectomy in the cervical spine spinal cord. In a corpectomy, the cervical canal is decompressed by removing both the vertebral body and the disc spaces at either end. The technique of oblique corpectomy has been reported for the first time in 1993 to access lesions developed in the anterior part of the spinal canal 1. Download fulltext pdf download fulltext pdf download fulltext pdf. Pdf cervical corpectomy, fusion, and vertebral restoration. Cervical corpectomy is a ventral cervical spine procedure. Anterior cervical corpectomy surgery spine institute of san. The majority of patients are satisfied with their pain relief and the results of their surgery. Eighteen months after surgery the patient is still free from illness. The t2 stratosphere expandable corpectomy system is used in skeletally mature patients to replace a collapsed, damaged, or unstable vertebral body caused by tumor, trauma i. To assess the longterm clinical and radiographic outcomes of anterior cervical corpectomy and fusion accf with a neotype nanohydroxyapatitepolyamide 66 nhapa66 strut. T2 stratosphere expandable corpectomy system medtronic.
May 26, 2016 to assess the longterm clinical and radiographic outcomes of anterior cervical corpectomy and fusion accf with a neotype nanohydroxyapatitepolyamide 66 nhapa66 strut in the treatment of. The most common presenting symptom after brachialgia was neck pain 100%. Comparison of multilevel oblique corpectomy with and without image guided navigation for multisegmental cervical spondylotic myelopathy. Acdf with corpectomy orthopedic coding ask an expert. Anterior cervical corpectomy fusion is a surgery to fix he bones in your neck together to steady it or prevent movement. An anterior cervical corpectomy spine surgery treats multilevel cervical stenosis. Managing spondylotic cervical myeloradiculopathy using. Cervical spondylosis is the most common cause of myelopathy in patients over 55 years of age and cervical spondylotic myelopathy. Anterior cervical corpectomy is an approved and effective method for fusing the cervical spine to treat cervical spinal stenosis. This retrospective study included 109 patients93 with cervical spondylotic myelopathy and 16 with ossified posterior longitudinal ligament in whom spinal curvature and range of segmental movements were assessed on neutral and. Caring for myself after anterior cervical corpectomy fusion. The procedure of oblique cervical corpectomy occ illustrates maintenance of a considerable part of the ventral and lateral sides of the vertebral body. It can be taken either as an anterior oblique or posterior oblique projection.
Cervical corpectomy and fusion anterior approach youtube. Multilevel oblique corpectomy without fusion in managing cervical. C4 anterior cervical corpectomy with fusion for cervical. Longterm results of anterior cervical corpectomy and fusion. Anterior cervical corpectomy, with or without plating, has been reported to achieve high fusion rates, improvement in myelopathy, and good to excellent outcomes. The surgeon makes an incision in the front of your neck to remove all or some of the. The posterior longitudinal ligament is often removed to allow access to the cervical canal and to. Jul 01, 2012 read multilevel oblique corpectomy for cervical spondylotic myelopathy preserves segmental motion, european spine journal on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
Oblique cervical corpectomy occ is a lateral cervical approach used as an alternative to a central corpectomy, with the advantage of preserving motion since no fusion is performed. Reduction in range of cervical motion on serial longterm followup in patients undergoing oblique corpectomy for cervical spondylotic myelopathy. The cervical spine runs from the brain down through the cervical spine, controlling the bodys organs and limbs. Lumbar corpectomy brief description of the procedure surgical procedure in which vertebral bone and intervertebral disc material is removed to relieve pressure on the spinal cord and spinal nerves decompression in the lumbar spine. Multilevel cervical oblique corpectomy andor lateral foraminotomy allow wide decompression of nervous structures, while. Oblique cervical corpectomy pdf free download as pdf file. We are dedicated to providing a revolutionary approach to complete spine care that is unsurpassed. Singlelevel corpectomy is generally considered safe and associated with successful outcomes for csm. Sep 01, 2007 since 1992, we have developed an alternative technique to the anterior approach and median corpectomy, which is the oblique corpectomy through a lateral approach to the cervical spine. Anterior cervical corpectomy surgical spine treatment. Simply oblique corpectomy oc or more precisely anterolateral cervical oblique transcorporeal approach with oblique partial corpectomy is an alternative to anterior median or central corpectomy for decompression of the spinal cord, which is mainly performed for the treatment of spondylotic myeloradiculopathy and tumor removal. The anterior corpectomy with strut grafting will be further studied in this article.
Over last few years various clinical series 3439 about oblique corpectomy as well as experimental studies 40, 41 have been published. Cervical corpectomy and fusion anterior approach videoneurosurgery. Multilevel oblique corpectomy for cervical spondylotic. To highlight the value of the oblique corpectomy in managing patients with cervical myelopathy caused by extensive ossified posterior longitudinal ligament opll who also have a. In between each of the 7 vertebrae of the cervical spine are soft pads or discs which act as shockabsorbers and allow for bending and movement of the head. The tumor was completely resected with the edges free from disease. It is important that all patients are physically and psychologically prepared. Anterior cervical corpectomy and the operating team. Turel mk, sarkar s, prabhu k, daniel rt, jacob ks, chacko ag. Multilevel oblique corpectomies are an available and safe option for the treatment of upper cervical chordomas. Anterior cervical corpectomy anterior in the human anatomy, referring to the front surface of the body or position of one structure relative to another cervical relating to the neck, in the spine relating to the. The purpose of this article is to detail the advantages and disadvantages of this technique and to describe the preoperative selection criteria and the. It is indicated in patients with a stable cervical spine and can be used for as many cervical levels as needed. Oblique cervical corpectomy pdf spinal cord vertebral.
Cervical spine ap oblique view radiology reference. Oblique corpectomy to manage cervical myeloradiculopathy. The authors describe a lateral approach to the cervical spine for the management of spondylotic myeloradiculopathy. Pdf on jan 24, 2018, salvatore chibbaro and others published multilevel oblique corpectomy find, read and cite all the research you need on researchgate. Chacko ag, daniel rt 2007 multilevel cervical oblique corpectomy in the treatment of. Nov 14, 20 anterior cervical corpectomy with fusion accf is an efficient way to treat csm with satisfying results.
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