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Research ArticleArticles
Open Access

Clinical Outcomes After Cervical Transcorporeal Microdecompression and Vertebral Body Access Channel Repair

David W. Lowry, Scott M. Tuinstra, Kevin Liang and Joseph A. Sclafani
International Journal of Spine Surgery January 2015, 9 10; DOI: https://doi.org/10.14444/2010
David W. Lowry
1The Brain and Spine Center, Holland, MI, USA
MD
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Scott M. Tuinstra
1The Brain and Spine Center, Holland, MI, USA
PA-C
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Kevin Liang
2Milestone Research Organization, San Diego, CA
Ph.D
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Joseph A. Sclafani
2Milestone Research Organization, San Diego, CA
MD
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Article Figures & Data

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    Figure 1

    Illustration of the stepwise process of a channel repair implant that is filled with beta-tricalcium phosphate and local autograft.

  • Figure 2
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    Figure 2

    Access channel demonstrates ossification at 12 weeks postoperation.

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    Figure 3

    Mean return to work duration was shorter in the TCMD than in the TCMD+ACDF group. All patients in the TCMD group returned to work by post-op day 60 and all patients in the TCMD+ACDF group returned to work by post-op day 120.

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    Table 1

    Patient demographics.

    n
    Total patients62
    Mean age at surgery (years)50.6
    Diagnosis
    Degenerative Disc Disease with Stenosis37
    Acute Disc Herniation25
    Procedure
    Standalone TCMD42
    TCMD+ACDF procedure20
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    Table 2

    Patient based outcome measures for the standalone TCMD group and TCMD+ACDF group.

    TCMD Preoperation 1 year postoperation Paired t-test (p)
    NDI20 ± 10.4 (n=41)2.7 ± 2.9 (n=22)0.0001
    VAS Neck5.5 ± 3.1 (n=42)0.6 ± 0.8 (n=22)0.0001
    VAS Arm7.0 ± 2.4 (n=41)0.7 ± 1.4 (n=22)0.0001
    TMCD+ACDF Preoperation 1 year postoperation Paired t-test (p)
    NDI22 ± 11 (n=18)4.0 ± 3.5 (n=7)0.004
    VAS Neck7.1 ± 2.1 (n=18)1.2 ± 1.0 (n=7)0.01
    VAS Arm6.4 ± 2.9 (n=18)2.3 ± 3.2 (n=7)0.09
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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Clinical Outcomes After Cervical Transcorporeal Microdecompression and Vertebral Body Access Channel Repair
David W. Lowry, Scott M. Tuinstra, Kevin Liang, Joseph A. Sclafani
International Journal of Spine Surgery Jan 2015, 9 10; DOI: 10.14444/2010

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Clinical Outcomes After Cervical Transcorporeal Microdecompression and Vertebral Body Access Channel Repair
David W. Lowry, Scott M. Tuinstra, Kevin Liang, Joseph A. Sclafani
International Journal of Spine Surgery Jan 2015, 9 10; DOI: 10.14444/2010
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