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Anterior cervical reconstruction using titanium mesh cages.

Shahzad Shams1, Muhammad Javaid Rashid

  • 1Department of Neurosurgery, Services Hospital/SIMS, Lahore. sshazam@brain.net.pk

Journal of Ayub Medical College, Abbottabad : JAMC
|September 18, 2007
PubMed
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Anterior cervical corpectomy using titanium mesh cages effectively reconstructs the cervical spine, offering good stability and significant pain relief for patients. This surgical approach demonstrates excellent neurological improvement with minimal complications.

Area of Science:

  • Spine surgery
  • Orthopedic surgery
  • Neurosurgery

Background:

  • Cervical lesion management has advanced with new reconstruction techniques.
  • Anterior cervical corpectomy with titanium mesh reconstruction is a key method for cervical spine repair.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of anterior cervical corpectomy using titanium mesh cages for cervical spine reconstruction.

Main Methods:

  • Seventeen patients underwent corpectomy and decompression.
  • Fusion was achieved using titanium mesh cages filled with local bone grafts.

Main Results:

  • 13 patients showed improved clinical status (Nurick's classification).
  • Significant arm (76.4%) and neck (70.5%) pain relief was observed within 3 months.

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  • Complications included cage kyphosis, radiculopathy, subsidence, and infection.

    • Conclusions:

    • Titanium mesh cages provide early cervical spine stability and good neurological outcomes.
    • The procedure minimizes donor site morbidity, postoperative pain, and hospital stay.
    • Low complication rates and cost-effectiveness are notable benefits.