Cargando…

Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine

STUDY DESIGN: Retrospective and prospective case series. PURPOSE: The aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages. OVERVIEW OF LITERATURE: Literature shows that corpectomy has become a common surgical procedure for spina...

Descripción completa

Detalles Bibliográficos
Autores principales: Thaker, Rohit Anilbhai, Gautam, Vinod K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278984/
https://www.ncbi.nlm.nih.gov/pubmed/25558321
http://dx.doi.org/10.4184/asj.2014.8.6.786
_version_ 1782350606811267072
author Thaker, Rohit Anilbhai
Gautam, Vinod K
author_facet Thaker, Rohit Anilbhai
Gautam, Vinod K
author_sort Thaker, Rohit Anilbhai
collection PubMed
description STUDY DESIGN: Retrospective and prospective case series. PURPOSE: The aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages. OVERVIEW OF LITERATURE: Literature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy. METHODS: Study was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient. RESULTS: Fourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients. CONCLUSIONS: The present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation.
format Online
Article
Text
id pubmed-4278984
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Korean Society of Spine Surgery
record_format MEDLINE/PubMed
spelling pubmed-42789842015-01-02 Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine Thaker, Rohit Anilbhai Gautam, Vinod K Asian Spine J Clinical Study STUDY DESIGN: Retrospective and prospective case series. PURPOSE: The aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages. OVERVIEW OF LITERATURE: Literature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy. METHODS: Study was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient. RESULTS: Fourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients. CONCLUSIONS: The present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. Korean Society of Spine Surgery 2014-12 2014-12-17 /pmc/articles/PMC4278984/ /pubmed/25558321 http://dx.doi.org/10.4184/asj.2014.8.6.786 Text en Copyright © 2014 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Thaker, Rohit Anilbhai
Gautam, Vinod K
Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine
title Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine
title_full Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine
title_fullStr Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine
title_full_unstemmed Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine
title_short Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine
title_sort study of vertebral body replacement with reconstruction spinal cages in dorsolumbar traumatic and koch's spine
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278984/
https://www.ncbi.nlm.nih.gov/pubmed/25558321
http://dx.doi.org/10.4184/asj.2014.8.6.786
work_keys_str_mv AT thakerrohitanilbhai studyofvertebralbodyreplacementwithreconstructionspinalcagesindorsolumbartraumaticandkochsspine
AT gautamvinodk studyofvertebralbodyreplacementwithreconstructionspinalcagesindorsolumbartraumaticandkochsspine