Anterior Cervical Corpectomy with Cage Fixation for Cervical Spondylotic Myelopathy

  • Muhammad Anwar Ullah Department of Neurosurgery, Lady Reading Hospital MTI, Pakistan
  • Muhammad Usman Department of Neurosurgery, Lady Reading Hospital MTI, Pakistan
  • Faheem Ullah Khan Department of Pharmacy, Abasyn University, Peshawar – Pakistan
  • Jehanzeb . Department of Neurosurgery, Lady Reading Hospital MTI, Pakistan
  • Abdul Jalal Department of Neurosurgery, Lady Reading Hospital MTI, Pakistan
Keywords: Cervical Cage, Cervical fixation, Spondylotic Myelopathy, Corpectomy

Abstract

Objective:  This study aimed to report the clinical outcome of anterior cervical corpectomy with cage fixation in patients with cervical spondylotic myelopathy.

Material and Methods:  This observational retrospective study included 36 patients from the Neurosurgery department of Lady Ready Hospital MTI, Peshawar from 2014 January to 2015 December. After performing surgery, the patients were followed up for six months for neurological outcome and various post-operative complications such as infection, transient recurrent laryngeal palsy, screw displacement and improvements in paresthesias and gait ataxia.

Results:  Most of the patients have no post-operative complications. Seventy-five percent (n = 27) of patients reported an immediate improvement in paresthesia and fine hand movements and gait. The major reported complications were implant failure (5.55%) and recurrent laryngeal nerve transient palsy in two patients (5.55%) each.

Conclusion:  In patients with cervical spondylotic myelopathy, with anterior compression, cervical corpectomy with cage fixation is less invasive and an effective procedure with acceptable outcomes.

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Published
2021-03-31
Section
Original Article