Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine
Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infect...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Rohit Anilbhai Thaker [verfasserIn] Vinod K Gautam [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2014 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Asian Spine Journal - Korean Spine Society, 2018, 8(2014), 6, Seite 786-792 |
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| Übergeordnetes Werk: |
volume:8 ; year:2014 ; number:6 ; pages:786-792 |
| Links: |
Link aufrufen |
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| DOI / URN: |
10.4184/asj.2014.8.6.786 |
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| Katalog-ID: |
DOAJ071058109 |
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| 245 | 1 | 0 | |a Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine |
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| 520 | |a Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. | ||
| 650 | 4 | |a Spinal fusion | |
| 650 | 4 | |a Reconstructive surgical procedure | |
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| 650 | 4 | |a Spinal Injuries | |
| 650 | 4 | |a Tuberculosis, spinal | |
| 650 | 4 | |a Tuberculosis, multi drug resistant | |
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10.4184/asj.2014.8.6.786 doi (DE-627)DOAJ071058109 (DE-599)DOAJ6f3f15fba20947fbb310c022dbff6d8c DE-627 ger DE-627 rakwb eng Rohit Anilbhai Thaker verfasserin aut Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. Spinal fusion Reconstructive surgical procedure Autografts Spinal Injuries Tuberculosis, spinal Tuberculosis, multi drug resistant Medicine R Vinod K Gautam verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 8(2014), 6, Seite 786-792 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:8 year:2014 number:6 pages:786-792 https://doi.org/10.4184/asj.2014.8.6.786 kostenfrei https://doaj.org/article/6f3f15fba20947fbb310c022dbff6d8c kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-8-786.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 6 786-792 |
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10.4184/asj.2014.8.6.786 doi (DE-627)DOAJ071058109 (DE-599)DOAJ6f3f15fba20947fbb310c022dbff6d8c DE-627 ger DE-627 rakwb eng Rohit Anilbhai Thaker verfasserin aut Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. Spinal fusion Reconstructive surgical procedure Autografts Spinal Injuries Tuberculosis, spinal Tuberculosis, multi drug resistant Medicine R Vinod K Gautam verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 8(2014), 6, Seite 786-792 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:8 year:2014 number:6 pages:786-792 https://doi.org/10.4184/asj.2014.8.6.786 kostenfrei https://doaj.org/article/6f3f15fba20947fbb310c022dbff6d8c kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-8-786.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 6 786-792 |
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10.4184/asj.2014.8.6.786 doi (DE-627)DOAJ071058109 (DE-599)DOAJ6f3f15fba20947fbb310c022dbff6d8c DE-627 ger DE-627 rakwb eng Rohit Anilbhai Thaker verfasserin aut Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. Spinal fusion Reconstructive surgical procedure Autografts Spinal Injuries Tuberculosis, spinal Tuberculosis, multi drug resistant Medicine R Vinod K Gautam verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 8(2014), 6, Seite 786-792 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:8 year:2014 number:6 pages:786-792 https://doi.org/10.4184/asj.2014.8.6.786 kostenfrei https://doaj.org/article/6f3f15fba20947fbb310c022dbff6d8c kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-8-786.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 6 786-792 |
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10.4184/asj.2014.8.6.786 doi (DE-627)DOAJ071058109 (DE-599)DOAJ6f3f15fba20947fbb310c022dbff6d8c DE-627 ger DE-627 rakwb eng Rohit Anilbhai Thaker verfasserin aut Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. Spinal fusion Reconstructive surgical procedure Autografts Spinal Injuries Tuberculosis, spinal Tuberculosis, multi drug resistant Medicine R Vinod K Gautam verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 8(2014), 6, Seite 786-792 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:8 year:2014 number:6 pages:786-792 https://doi.org/10.4184/asj.2014.8.6.786 kostenfrei https://doaj.org/article/6f3f15fba20947fbb310c022dbff6d8c kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-8-786.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 6 786-792 |
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10.4184/asj.2014.8.6.786 doi (DE-627)DOAJ071058109 (DE-599)DOAJ6f3f15fba20947fbb310c022dbff6d8c DE-627 ger DE-627 rakwb eng Rohit Anilbhai Thaker verfasserin aut Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. Spinal fusion Reconstructive surgical procedure Autografts Spinal Injuries Tuberculosis, spinal Tuberculosis, multi drug resistant Medicine R Vinod K Gautam verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 8(2014), 6, Seite 786-792 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:8 year:2014 number:6 pages:786-792 https://doi.org/10.4184/asj.2014.8.6.786 kostenfrei https://doaj.org/article/6f3f15fba20947fbb310c022dbff6d8c kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-8-786.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 6 786-792 |
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Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. 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Rohit Anilbhai Thaker |
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Rohit Anilbhai Thaker misc Spinal fusion misc Reconstructive surgical procedure misc Autografts misc Spinal Injuries misc Tuberculosis, spinal misc Tuberculosis, multi drug resistant misc Medicine misc R Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine |
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Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine Spinal fusion Reconstructive surgical procedure Autografts Spinal Injuries Tuberculosis, spinal Tuberculosis, multi drug resistant |
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misc Spinal fusion misc Reconstructive surgical procedure misc Autografts misc Spinal Injuries misc Tuberculosis, spinal misc Tuberculosis, multi drug resistant misc Medicine misc R |
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misc Spinal fusion misc Reconstructive surgical procedure misc Autografts misc Spinal Injuries misc Tuberculosis, spinal misc Tuberculosis, multi drug resistant misc Medicine misc R |
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study of vertebral body replacement with reconstruction spinal cages in dorsolumbar traumatic and koch's spine |
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Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine |
| abstract |
Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. |
| abstractGer |
Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. |
| abstract_unstemmed |
Study DesignRetrospective and prospective case series.PurposeThe aim of this study was to assess the results of reconstruction of anterior column, fusion and complications related to cages.Overview of LiteratureLiterature shows that corpectomy has become a common surgical procedure for spinal infection, trauma, deformity, instability and metastasis. Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. The fusion can be achieved with reconstructive cage plus bone graft with or without posterior instrumentation. |
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Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch's Spine |
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Also the use of reconstructive spinal cages is common after corpectomy.MethodsStudy was carried out in patients with dorsolumbar traumatic and Koch's spine. We assessed 25 patients (13 traumatic/12 tuberculous) who were treated with cages with/without any other instrumentation. Radiographs were obtained before and after the surgery. A preoperative magnetic resonance imaging was obtained in every patient.ResultsFourteen patients underwent 1 level of corpectomy, 9 patients underwent 2 levels and 2 patients underwent 3 levels of corpectomy. Anterior reconstruction alone was performed in 8 patients; 360° reconstruction was performed in 17 patients and 2 of them underwent reconstruction through single posterior approach only. The mean kyphotic angulation improved from 21.2° preoperatively to 9.3° postoperatively and to 12° at final follow up. 8 patients with neurological deficits had improvement by at least one or more Frankel grade. No migration/displacement of cage was seen in any patients.ConclusionsThe present study demonstrates that the vertebral body replacement after corpectomy by reconstructive cages provides a reconstruction of the anterior column, good correction of the mean kyphotic angle, and a correction maintained with cage without any cage related complication at long term follow up. 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