Cervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.

Study Design: We reviewed our surgical experience and results in 29 patients operated upon by multiple oblique corpectomy without fusion for cervical spondylotic myelopathy. Objective: To review the safety, efficacy and surgical experience of multiple oblique corpectomy in carefully selected 29 pati...

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Autores principales: Mohamed Sawan, Khaled Anbar
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Lenguaje:EN
Publicado: Egyptian Spine Association 2012
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Acceso en línea:https://doaj.org/article/22a1b9e7d76b4c7ba15db59c4fdfe9c1
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spelling oai:doaj.org-article:22a1b9e7d76b4c7ba15db59c4fdfe9c12021-12-02T00:32:11ZCervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.2314-89502314-8969https://doaj.org/article/22a1b9e7d76b4c7ba15db59c4fdfe9c12012-01-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3759.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Study Design: We reviewed our surgical experience and results in 29 patients operated upon by multiple oblique corpectomy without fusion for cervical spondylotic myelopathy. Objective: To review the safety, efficacy and surgical experience of multiple oblique corpectomy in carefully selected 29 patients, through anterolateral corridor to the cervical spine without the need for vertebral fusion or stabilization. Methods: Between March 2007 and April 2011, 29 patients have been treated with multiple oblique corpectomy technique for cervical spondylotic myelopathy. The functional status was assessed using the modified Japanese Orthopedic Association Score preoperatively and at 1,6,12 months postoperatively. Radiological Assessment was done preoperatively with MRI, CT scan and plain radiograph, and postoperatively on the following 1,6,12 months after surgery and routinely prior to discharge. Results: Among the 29 patients (19 males and 10 females) with a mean preoperative duration of symptoms for of 11.7 months. Satisfactory significant recovery occurred in 20 patients, 5 patients had no clinical improvement and 4 patients had variable degrees of clinical deterioration. Only one patient showed an evidence of spinal instability postoperatively. Conclusion: The multiple oblique corpectomy is a safe and effective technique in removal of the anterior compressing spurs to the spinal cord. No fusion is required regardless the number of the levels. The short recovery period, few complications rate with satisfactory significant outcome make this technique a better surgical option for cervical spondylotic myelopathy in selected patients. (2012ESJ003) Mohamed Sawan Khaled AnbarEgyptian Spine AssociationarticlecorpectomyCervicalspondyloticmyelopathymultilevelNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 1, Iss 1, Pp 29-38 (2012)
institution DOAJ
collection DOAJ
language EN
topic corpectomy
Cervical
spondylotic
myelopathy
multilevel
Neurology. Diseases of the nervous system
RC346-429
spellingShingle corpectomy
Cervical
spondylotic
myelopathy
multilevel
Neurology. Diseases of the nervous system
RC346-429
Mohamed Sawan
Khaled Anbar
Cervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.
description Study Design: We reviewed our surgical experience and results in 29 patients operated upon by multiple oblique corpectomy without fusion for cervical spondylotic myelopathy. Objective: To review the safety, efficacy and surgical experience of multiple oblique corpectomy in carefully selected 29 patients, through anterolateral corridor to the cervical spine without the need for vertebral fusion or stabilization. Methods: Between March 2007 and April 2011, 29 patients have been treated with multiple oblique corpectomy technique for cervical spondylotic myelopathy. The functional status was assessed using the modified Japanese Orthopedic Association Score preoperatively and at 1,6,12 months postoperatively. Radiological Assessment was done preoperatively with MRI, CT scan and plain radiograph, and postoperatively on the following 1,6,12 months after surgery and routinely prior to discharge. Results: Among the 29 patients (19 males and 10 females) with a mean preoperative duration of symptoms for of 11.7 months. Satisfactory significant recovery occurred in 20 patients, 5 patients had no clinical improvement and 4 patients had variable degrees of clinical deterioration. Only one patient showed an evidence of spinal instability postoperatively. Conclusion: The multiple oblique corpectomy is a safe and effective technique in removal of the anterior compressing spurs to the spinal cord. No fusion is required regardless the number of the levels. The short recovery period, few complications rate with satisfactory significant outcome make this technique a better surgical option for cervical spondylotic myelopathy in selected patients. (2012ESJ003)
format article
author Mohamed Sawan
Khaled Anbar
author_facet Mohamed Sawan
Khaled Anbar
author_sort Mohamed Sawan
title Cervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.
title_short Cervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.
title_full Cervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.
title_fullStr Cervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.
title_full_unstemmed Cervical Spondylotic Myelopathy Treated with Multilevel Oblique Corpectomy. A Review of 29 Cases.
title_sort cervical spondylotic myelopathy treated with multilevel oblique corpectomy. a review of 29 cases.
publisher Egyptian Spine Association
publishDate 2012
url https://doaj.org/article/22a1b9e7d76b4c7ba15db59c4fdfe9c1
work_keys_str_mv AT mohamedsawan cervicalspondyloticmyelopathytreatedwithmultilevelobliquecorpectomyareviewof29cases
AT khaledanbar cervicalspondyloticmyelopathytreatedwithmultilevelobliquecorpectomyareviewof29cases
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