Four-level cervical corpectomy.

R L Saunders; H J Pikus; P Ball

doi:10.1097/00007632-199811150-00022

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Four-level cervical corpectomy.

R L Saunders·H J Pikus·P Ball

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Abstract

STUDY DESIGN: Retrospective analysis of 31 cases of cervical spondylotic myelopathy treated by four-level subaxial cervical corpectomy. OBJECTIVE: To determine whether extremes of anterior decompression and fusion have inordinate or unique levels of morbidity. SUMMARY OF BACKGROUND DATA: There is a paucity of data on experience with four-level corpectomy. However, counsel against such surgery can be found. MATERIALS AND METHODS: The records and studies of 31 consecutive cases of cervical spondylotic myelopathy, treated by four-level corpectomy, were retrospectively analyzed. Patients in 26 cases were observed longer than 2 years. No hardware was used in the procedures. External orthosis, worn for 6 months, was a Philadelphia-type collar in 25 patients and a halo vest in 6. RESULTS: Three patients died within 3 weeks of surgery (9.7%). Delayed radiculopathy occurred in four patients after surgery, three had acute graft complications, and one had pseudomeningocele, for a morbidity rate of 25.8%. There was no infection or worsened myelopathy. CONCLUSIONS: No unique morbidity is associated with extremes of subaxial decompression when compared with surgery of lesser extent.

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Aged Cervical Vertebrae Decompression, Surgical Follow-Up Studies Humans Male Middle Aged Postoperative Complications Spinal Cord Compression Spinal Fusion Spinal Osteophytosis Time Factors Journal Article

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R L Saunders, H J Pikus, P Ball. 1998-11-15. Four-level cervical corpectomy.. https://doi.org/10.1097/00007632-199811150-00022

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