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Research ArticleArticles

Anterior Cervical Corpectomy with free vascularized fibular graft versus multilevel discectomy and grafting for Cervical Spondylotic Myelopathy

Ahmed Saleh Shaker, Ahmad I Addosooki and Mohamed Alam El-deen
International Journal of Spine Surgery January 2015, 9 60; DOI: https://doi.org/10.14444/2060
Ahmed Saleh Shaker
Department of Orthopedic Surgery, Sohag University, Sohag, Egypt
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Ahmad I Addosooki
Department of Orthopedic Surgery, Sohag University, Sohag, Egypt
MD
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Mohamed Alam El-deen
Department of Orthopedic Surgery, Sohag University, Sohag, Egypt
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  • Fig. 1
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    Fig. 1

    64 year old male with CSM. (A) T2 sagittal MRI showing cord compression and signal changes due to multiple disc herniations between C4-7. (B) and (C) 33 month postoperative antero-posterior and lateral X-ray showing C4-5, C5-6 and C6-7 discectomy and fusion with autologus tricortical iliac bone grafts fixed by anterior locked plate with complete bony fusion and maintenance of cervical lordosis.

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    Fig. 2

    58 year old male. (A) T2 sagittal MRI showing cord compression and signal changes between C4-7, (B) and (C) 31 month postoperative antero-posterior and lateral X-ray showing C5 and C6 corpectomy and FVFG reconstruction fixed by anterior locked plate with solid fusion.

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    Table 1

    Perioperative parameters.

    Group AGroup BP value
    Number 78
    Age 58.7 ±6.8755.87±6.80.4
    Sex (male:female) 5:26:2
    Number of fused levels 0.7
    2 -3
    3 72
    4 -3
    Fusion levels
    C 3-5 -2
    C3-6 42
    C4-6 -1
    C3-7 -3
    C4-7 3-
    Op time (min) 207.86±13.18371.25±64.017<0.001
    Hospital stay (days) 3.86±0.898.5±1.9<0.001
    Follow up (months) 32.71±9.935.25±6.31
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    Table 2

    JOA score.

    PatientPreoperative JOA scoreFinal JOA score
    Group AGroup BGroup AGroup B
    1 9101615
    2 8101514
    3 1091416
    4 9131414
    5 1061413
    6 691314
    7 1481615
    8 -8-13
    P value 0.780.61
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    Table 3

    Radiologic outcome.

    Cervical LordosisGroup AGroup BP value
    Preoperative 8.8±1.5°7.5±2.4°0.28
    Direct postoperative 15.9±1.6°14.4±0.7°0.04
    Final follow up 14.7±1.8°13.2±0.7°0.02
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    Table 4

    Summary of complications.

    ComplicationsGroup AGroup B
    Hardware complication 1 (14%)1 (12.5%)
    Wound infection 01 (12.5%)
    Dysphagia 2 (28%)3 (37.5%)
    Donor site pain 3 (42%)1 (12.5%)
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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Anterior Cervical Corpectomy with free vascularized fibular graft versus multilevel discectomy and grafting for Cervical Spondylotic Myelopathy
Ahmed Saleh Shaker, Ahmad I Addosooki, Mohamed Alam El-deen
International Journal of Spine Surgery Jan 2015, 9 60; DOI: 10.14444/2060

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Anterior Cervical Corpectomy with free vascularized fibular graft versus multilevel discectomy and grafting for Cervical Spondylotic Myelopathy
Ahmed Saleh Shaker, Ahmad I Addosooki, Mohamed Alam El-deen
International Journal of Spine Surgery Jan 2015, 9 60; DOI: 10.14444/2060
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  • Bilateral C5 Motor Palsy after Anterior Cervical Decompression and Fusion: A Case Report and Review of the Literature
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Keywords

  • myelopathy
  • multilevel discectomy
  • corpectomy
  • vascularized fibular graft

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