Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy

Background Data: Oblique cervical corpectomy involves direct decompression of the spinal cord as well as the ipsilateral nerve root but does not require bone fusion or postoperative immobilization. This approach preserves the motion unit anatomically and decreases the risk of adjacent segment diseas...

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Autores principales:	Omar Ragab, Hamdy Nabawi, Osama Elfahl, Mohamed Elmaghraby
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2017
Materias:	cervical spine Cervical spondylosis cervical radiculopathy oblique cervical corpectomy Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9d6b28f21e05465490791aa1a1712b5c
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spelling	oai:doaj.org-article:9d6b28f21e05465490791aa1a1712b5c2021-12-02T04:46:59ZOblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With MyelopathyDOI:10.21608/ESJ.2017.56322314-89502314-8969https://doaj.org/article/9d6b28f21e05465490791aa1a1712b5c2017-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_5632.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Oblique cervical corpectomy involves direct decompression of the spinal cord as well as the ipsilateral nerve root but does not require bone fusion or postoperative immobilization. This approach preserves the motion unit anatomically and decreases the risk of adjacent segment disease. Purpose: is to assess the indications, safety, efficacy and complications of oblique cervical corpectomy in the management of unilateral cervical spondylotic radiculopathy associated with myelopathy. Study Design: A prospective clinical case study. Patients and Methods: This study conducted on twelve patients with unilateral cervical spondylotic radiculopathy associated with myelopathy refractory to non-surgical measures for at least 6 months in the period between October 2013 and November 2015. The diagnosis was confirmed by clinical and radiological data. All patients were operated upon at Cairo university hospitals and Al-Haram hospital. Outcome of patients was categorized according to the modified Japanese Orthopaedic Association (mJOA) Scale and the recovery rate was calculated. Results: in this study the average age of presentation was 51 years, the male to female ratio was1:1, and the average duration of symptoms was 11.7 months. Eight cases had right sided radiculopathy and 4 cases had left sided radiculopathy. The most common presenting symptom after brachialgia was neck pain (100%). The most common sign was motor weakness (100%). Most common operated level was C5 and C6 oblique corpectomy. Excellent and good outcomes of patients were obtained in 83.3%. There was statistically significant improvement in the post-operative mJOA score in comparison to the pre-operative. The mean follow up period was 16.5 months with no reported recurrence, instability, progressive kyphosis, vertebral collapse nor other late complications like adjacent segment disease. Conclusion: Oblique corpectomy is a good alternative to conventional median corpectomy and fusion in selected cases for the treatment of unilateral multilevel spondylotic radiculopathy and myelopathy. By avoiding the use of implants and fusion in oblique corpectomy, the procedure is cost effect with no fusion-related complications particularly adjacent segment disease. (2017ESJ130)Omar Ragab Hamdy Nabawi Osama Elfahl Mohamed ElmaghrabyEgyptian Spine Associationarticlecervical spineCervical spondylosiscervical radiculopathyoblique cervical corpectomyNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 22, Iss 1, Pp 6-14 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	cervical spine Cervical spondylosis cervical radiculopathy oblique cervical corpectomy Neurology. Diseases of the nervous system RC346-429
spellingShingle	cervical spine Cervical spondylosis cervical radiculopathy oblique cervical corpectomy Neurology. Diseases of the nervous system RC346-429 Omar Ragab Hamdy Nabawi Osama Elfahl Mohamed Elmaghraby Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy
description	Background Data: Oblique cervical corpectomy involves direct decompression of the spinal cord as well as the ipsilateral nerve root but does not require bone fusion or postoperative immobilization. This approach preserves the motion unit anatomically and decreases the risk of adjacent segment disease. Purpose: is to assess the indications, safety, efficacy and complications of oblique cervical corpectomy in the management of unilateral cervical spondylotic radiculopathy associated with myelopathy. Study Design: A prospective clinical case study. Patients and Methods: This study conducted on twelve patients with unilateral cervical spondylotic radiculopathy associated with myelopathy refractory to non-surgical measures for at least 6 months in the period between October 2013 and November 2015. The diagnosis was confirmed by clinical and radiological data. All patients were operated upon at Cairo university hospitals and Al-Haram hospital. Outcome of patients was categorized according to the modified Japanese Orthopaedic Association (mJOA) Scale and the recovery rate was calculated. Results: in this study the average age of presentation was 51 years, the male to female ratio was1:1, and the average duration of symptoms was 11.7 months. Eight cases had right sided radiculopathy and 4 cases had left sided radiculopathy. The most common presenting symptom after brachialgia was neck pain (100%). The most common sign was motor weakness (100%). Most common operated level was C5 and C6 oblique corpectomy. Excellent and good outcomes of patients were obtained in 83.3%. There was statistically significant improvement in the post-operative mJOA score in comparison to the pre-operative. The mean follow up period was 16.5 months with no reported recurrence, instability, progressive kyphosis, vertebral collapse nor other late complications like adjacent segment disease. Conclusion: Oblique corpectomy is a good alternative to conventional median corpectomy and fusion in selected cases for the treatment of unilateral multilevel spondylotic radiculopathy and myelopathy. By avoiding the use of implants and fusion in oblique corpectomy, the procedure is cost effect with no fusion-related complications particularly adjacent segment disease. (2017ESJ130)
format	article
author	Omar Ragab Hamdy Nabawi Osama Elfahl Mohamed Elmaghraby
author_facet	Omar Ragab Hamdy Nabawi Osama Elfahl Mohamed Elmaghraby
author_sort	Omar Ragab
title	Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy
title_short	Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy
title_full	Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy
title_fullStr	Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy
title_full_unstemmed	Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy
title_sort	oblique cervical corpectomy in the management of unilateral multilevel spondylotic radiculopathy associated with myelopathy
publisher	Egyptian Spine Association
publishDate	2017
url	https://doaj.org/article/9d6b28f21e05465490791aa1a1712b5c
work_keys_str_mv	AT omarragab obliquecervicalcorpectomyinthemanagementofunilateralmultilevelspondyloticradiculopathyassociatedwithmyelopathy AT hamdynabawi obliquecervicalcorpectomyinthemanagementofunilateralmultilevelspondyloticradiculopathyassociatedwithmyelopathy AT osamaelfahl obliquecervicalcorpectomyinthemanagementofunilateralmultilevelspondyloticradiculopathyassociatedwithmyelopathy AT mohamedelmaghraby obliquecervicalcorpectomyinthemanagementofunilateralmultilevelspondyloticradiculopathyassociatedwithmyelopathy
_version_	1718401026819620864

Oblique Cervical Corpectomy in the Management of Unilateral Multilevel Spondylotic Radiculopathy Associated With Myelopathy

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