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Utilizing vertebral body autograft for anterior cervical corpectomy/fusion
BACKGROUND: There are numerous ways to reconstruct cervical vertebral bodies and achieve arthrodesis following anterior cervical corpectomy and fusion (ACF). However, device and donor site complications abound. Here, we describe a novel technique for performing ACF using the vertebral body itself as...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049885/ https://www.ncbi.nlm.nih.gov/pubmed/32123612 http://dx.doi.org/10.25259/SNI_9_2020 |
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author | Hoffman, Haydn Goulart, Carlos R. Galgano, Michael A. |
author_facet | Hoffman, Haydn Goulart, Carlos R. Galgano, Michael A. |
author_sort | Hoffman, Haydn |
collection | PubMed |
description | BACKGROUND: There are numerous ways to reconstruct cervical vertebral bodies and achieve arthrodesis following anterior cervical corpectomy and fusion (ACF). However, device and donor site complications abound. Here, we describe a novel technique for performing ACF using the vertebral body itself as a structural autograft. METHODS: The anterior cervical spine was accessed and discectomies were performed rostral and caudal to the corpectomy. Five millimeter troughs were drilled on the lateral borders of the vertebral body, and it was removed en bloc. The autograft was rotated 90°, and an anterior cervical plate was selected to span the length of the graft, allowing for fixation to the adjacent vertebral bodies. The plate was secured to the graft, the graft was placed in the bony defect, and the plate was secured to the adjacent levels. RESULTS: This corpectomy reconstructive technique was successfully applied in a 57-year-old female with cervical myelopathy due to a C5–C6 disc herniation with caudal migration. The C6 vertebral body was used as a structural autograft. Postoperatively, the patient experienced satisfactory improvement in her myelopathy, and the construct appeared stable 8 months later. CONCLUSION: This corpectomy reconstructive technique takes advantage of the favorable osteogenic properties of autograft, while avoiding donor site morbidity as well as the cost and complications of other devices, such as cages. Further cases are required to verify the safety, efficacy, and biomechanical stability of this technique. |
format | Online Article Text |
id | pubmed-7049885 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-70498852020-03-02 Utilizing vertebral body autograft for anterior cervical corpectomy/fusion Hoffman, Haydn Goulart, Carlos R. Galgano, Michael A. Surg Neurol Int Technical Note BACKGROUND: There are numerous ways to reconstruct cervical vertebral bodies and achieve arthrodesis following anterior cervical corpectomy and fusion (ACF). However, device and donor site complications abound. Here, we describe a novel technique for performing ACF using the vertebral body itself as a structural autograft. METHODS: The anterior cervical spine was accessed and discectomies were performed rostral and caudal to the corpectomy. Five millimeter troughs were drilled on the lateral borders of the vertebral body, and it was removed en bloc. The autograft was rotated 90°, and an anterior cervical plate was selected to span the length of the graft, allowing for fixation to the adjacent vertebral bodies. The plate was secured to the graft, the graft was placed in the bony defect, and the plate was secured to the adjacent levels. RESULTS: This corpectomy reconstructive technique was successfully applied in a 57-year-old female with cervical myelopathy due to a C5–C6 disc herniation with caudal migration. The C6 vertebral body was used as a structural autograft. Postoperatively, the patient experienced satisfactory improvement in her myelopathy, and the construct appeared stable 8 months later. CONCLUSION: This corpectomy reconstructive technique takes advantage of the favorable osteogenic properties of autograft, while avoiding donor site morbidity as well as the cost and complications of other devices, such as cages. Further cases are required to verify the safety, efficacy, and biomechanical stability of this technique. Scientific Scholar 2020-02-18 /pmc/articles/PMC7049885/ /pubmed/32123612 http://dx.doi.org/10.25259/SNI_9_2020 Text en Copyright: © 2020 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Technical Note Hoffman, Haydn Goulart, Carlos R. Galgano, Michael A. Utilizing vertebral body autograft for anterior cervical corpectomy/fusion |
title | Utilizing vertebral body autograft for anterior cervical corpectomy/fusion |
title_full | Utilizing vertebral body autograft for anterior cervical corpectomy/fusion |
title_fullStr | Utilizing vertebral body autograft for anterior cervical corpectomy/fusion |
title_full_unstemmed | Utilizing vertebral body autograft for anterior cervical corpectomy/fusion |
title_short | Utilizing vertebral body autograft for anterior cervical corpectomy/fusion |
title_sort | utilizing vertebral body autograft for anterior cervical corpectomy/fusion |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049885/ https://www.ncbi.nlm.nih.gov/pubmed/32123612 http://dx.doi.org/10.25259/SNI_9_2020 |
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