Skip to main content

Main menu

  • Home
  • Content
    • Current Issue
    • Advance Online Publication
    • Archive
  • About Us
    • About ISASS
    • About the Journal
    • Author Instructions
    • Editorial Board
    • Reviewer Guidelines & Publication Criteria
  • More
    • Advertise
    • Subscribe
    • Alerts
    • Feedback
  • Join Us
  • Reprints & Permissions
  • Sponsored Content
  • Other Publications
    • ijss

User menu

  • My alerts

Search

  • Advanced search
International Journal of Spine Surgery
  • My alerts
International Journal of Spine Surgery

Advanced Search

  • Home
  • Content
    • Current Issue
    • Advance Online Publication
    • Archive
  • About Us
    • About ISASS
    • About the Journal
    • Author Instructions
    • Editorial Board
    • Reviewer Guidelines & Publication Criteria
  • More
    • Advertise
    • Subscribe
    • Alerts
    • Feedback
  • Join Us
  • Reprints & Permissions
  • Sponsored Content
  • Follow ijss on Twitter
  • Visit ijss on Facebook
Research ArticleCervical Spine

Clinicoradiological Outcome of 3 or More Levels of Anterior Cervical Corpectomy and Reconstruction

Macherla Haribabu Subramaniam, Muralidharan Venkatesan and Sajan.K. Hegde
International Journal of Spine Surgery July 2021, 8096; DOI: https://doi.org/10.14444/8096
Macherla Haribabu Subramaniam
1Department of Orthopaedics, Chettinad Hospital and Research Centre, Chennai, India
DNB(Ortho), Dip. SICOT(Belgium), Fellow(Spine Surgery)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Muralidharan Venkatesan
2Senior Consultant Spine Surgeon, Apollo Hospitals, Chennai. India
MRCS(Ed), MCH(Ortho), FRCS(Ortho)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sajan.K. Hegde
3Head of Department of Spine Surgery, Senior Consultant Spine Surgeon, Apollo Hospitals, Chennai, India
MS(Ortho)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

ABSTRACT

Background Studies reporting multilevel anterior cervical corpectomy (> 2 levels) and reconstruction in patients with long-segment anterior cervical compression are few and surgical outcomes are variable with increased surgical morbidity and a high incidence of graft-related complications. The aim of this study is to evaluate the effectiveness and safety of cervical corpectomy and anterior reconstruction of 3 or more levels in patients with long-segment anterior cervical compression.

Methods We retrospectively reviewed patients who had undergone 3 or more levels of anterior cervical corpectomy and reconstruction from 2014 to 2018. Clinical and radiological parameters such as Nurick grading, modified Japanese Orthopedic Association (mJOA) score, cervical segmental angle, cervical sagittal angle, graft subsidence, and fusion rate were evaluated preoperatively and at a 2-year follow-up. Patients were divided into 2 groups according to their anterior reconstruction, either with fibular strut autogenous graft or titanium mesh cage and rigid anterior cervical plating for subgroup analysis. Patients whose bone stock was found to be poor had undergone posterior instrumentation as a staged procedure.

Results There were 48 patients (mean age: 58.17 years) in the cohort: 42 had undergone 3-level and 6 had undergone 4-level cervical corpectomy with an ossified posterior longitudinal ligament and multilevel cervical spondylotic myelopathy being the main surgical indications. C5 to C7corpectomy was commonest. Of the cohort, 83.4% had standalone anterior reconstruction and only 8 patients (16.6%) had supplementation with posterior instrumentation. Our subgroup analysis showed statistically significant change in Nurick grading, mJOA score, cervical segmental angle, and sagittal angle in both groups at a 2-year follow-up (P < .05). Overall fusion rate was 89.5%. Decreased incidence of graft subsidence, statistically significant less graft subsidence (P = .002) and a higher fusion rate (P = .001) were noted in titanium mesh cage group at 2-year follow-up.

Conclusions Multilevel anterior cervical corpectomy and reconstruction is a safe and efficacious procedure. A titanium mesh cage filled with autogenous bone graft and a rigid anterior cervical plate gives best results. Posterior instrumentation should be considered along with a multilevel cervical corpectomy construct in patients with poor bone stock.

Level of Evidence 4

  • cervical corpectomy
  • cervical spine
  • myelopathy
  • OPLL
  • graft failure

Footnotes

  • Disclosures and COI: The authors declare no conflicts of interest. No funding was received from any external agency for undertaking the study.

  • This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2021 ISASS
Next
Back to top

In this issue

International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
  • Table of Contents
  • Index by author

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on International Journal of Spine Surgery.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Clinicoradiological Outcome of 3 or More Levels of Anterior Cervical Corpectomy and Reconstruction
(Your Name) has sent you a message from International Journal of Spine Surgery
(Your Name) thought you would like to see the International Journal of Spine Surgery web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Clinicoradiological Outcome of 3 or More Levels of Anterior Cervical Corpectomy and Reconstruction
Macherla Haribabu Subramaniam, Muralidharan Venkatesan, Sajan.K. Hegde
International Journal of Spine Surgery Jul 2021, 8096; DOI: 10.14444/8096

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Clinicoradiological Outcome of 3 or More Levels of Anterior Cervical Corpectomy and Reconstruction
Macherla Haribabu Subramaniam, Muralidharan Venkatesan, Sajan.K. Hegde
International Journal of Spine Surgery Jul 2021, 8096; DOI: 10.14444/8096
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Innovation and Adversity in Spine Surgery: A Retrospective
  • Cervical Myelopathy Secondary to Bilateral Atlantoaxial Pseudoarticulations in Rheumatoid Arthritis: A Case Report
  • Incidence of Traumatic Spinal Injury Following Public Policy Update on Moped Usage in South Carolina
Show more Cervical Spine

Similar Articles

Keywords

  • cervical corpectomy
  • cervical spine
  • myelopathy
  • OPLL
  • graft failure

Content

  • Current Issue
  • Latest Content
  • Archive

More Information

  • About IJSS
  • About ISASS
  • Privacy Policy

More

  • Subscribe
  • Alerts
  • Feedback

Other Services

  • Author Instructions
  • Join ISASS
  • Reprints & Permissions

© 2025 International Journal of Spine Surgery

International Journal of Spine Surgery Online ISSN: 2211-4599

Powered by HighWire