SciELO - Scientific Electronic Library Online

 
vol.11 issue3Evaluation of patients undergoing decompression and posterolateral arthrodesis because of degenerative spondylolisthesis with two years of follow upEvaluation of transpedicular percutaneous biopsy guided by CT author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Coluna/Columna

Print version ISSN 1808-1851

Abstract

SONAGLI, Marcos André et al. Anterior cervical corpectomy and plate fixation: a retrospective analysis . Coluna/Columna [online]. 2012, vol.11, n.3, pp.204-208. ISSN 1808-1851.  http://dx.doi.org/10.1590/S1808-18512012000300003.

OBJECTIVE: To evaluate the clinical and radiographic results of patients who underwent corpectomy and cervical plate fixation surgery with two years of follow-up. METHODS: Retrospective analysis from 2003 to 2009. We evaluated the fracture type (AO classification), the degree of neurological deficit (initial and after two years - Frankel scale), the complication rate and the rate of bone graft incorporation (according to X-rays two years after surgery). RESULTS: 21 patients were evaluated. According to the AO classification: 14 were in group A, 3 in B and 4 in C. Overall, seven patients had initial complete neurological deficit (Frankel A) and remained with neurological complete deficit after two years of follow-up. Of the 6 patients who had incomplete initial neurological deficit (Frankel B, C and D), 33% (2 of 6) showed an improvement on the Frankel scale level and 50% (3 of 6) of these progressed to full recovery (Frankel E). The 8 patients without initial neurological injury (Frankel E) remained unaffected after two years. Three clinical complications were observed: an esophageal fistula, an aseptic loosening of the implant and an infection in the graft donor site. All patients had bone graft consolidation. CONCLUSION: Cervical corpectomy in the treatment of burst fractures allows neurological recovery in patients with incomplete neurological injury and has low complication rates.

Keywords : Spine [surgery]; Spinal fusion [methods]; Orthopedic. procedures [instrumentation]; Prostheses and implants.

        · abstract in Portuguese | Spanish     · text in Portuguese     · Portuguese ( pdf epdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License