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Subject Area

Trauma, Cervical spine

Document Type

Clinical Study

Abstract

Background Data: Anterior cervical corpectomy was the best solution insome cases of subaxial fracture but this defect was a problem to fill aftercorpectomy, so this study was to show the efficacy and safety of carbon cageand plating in the treatment of this problem.Study Design: A clinical case series reviewPurpose: To review the safety, efficacy and outcome of anterior cervicalcorpectomy with cage and plating in the management of subaxial cervicalfractures.Patients and Methods: From January 2009 to January 2014, twenty patientsunderwent anterior cervical corpectomy with cage and plating for thetreatment of subaxial spinal injuries. The functional status was assessedusing the modified Japanese Orthopedic Association Score preoperativelyand at 1, 3 and 6 months postoperatively. Radiological assessment was donepreoperatively with MRI, CT scan and plain radiograph, and at 1, 3 and 6months postoperativelyby plain radiograph and CT scan.Results: Patients’ ages ranged from 17 to 60 years (mean 38.5 years); 14patients were males. Fourteen patients underwent one-level corpectomyand six patients underwent two-level corpectomy. Of our 20 patients; 16patients (80%) had satisfactory significant recovery (one point or more on(mJOA) score), while four patients (20%) had no clinical improvement (samepreoperative points on (mJOA) score). There was no case of cervical instability,instrument break down, or fusion failure during follow up period.Conclusion: The anterior cervical corpectomy with cage and plating is asafe and effective technique in subaxial spinal injuries in selected patients.(2013ESJ057)

Keywords

Subaxial fracture, cervical spine, anterior approach, Corpectomy

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