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Multilevel oblique corpectomies: surgical indications and technique
Michaël Bruneau1, Jan F Cornelius, Bernard George
1Department of Neurosurgery, Erasme Hospital, Université Libre do Bruxelles Brussels, Belgium. mbruneau@ulb.ac.be
Neurosurgery
|October 3, 2007
Summary
Multilevel oblique corpectomy offers wide spinal cord decompression and nerve root relief for spondylotic myelopathy. This technique preserves spinal stability and motion without requiring fusion.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Orthopedic Surgery
Background:
- Anterior corpectomy is a common spinal decompression procedure.
- Multilevel oblique corpectomy presents an alternative surgical technique.
Purpose of the Study:
- To describe the multilevel oblique corpectomy technique.
- To outline its advantages, disadvantages, indications, and biomechanical effects.
Main Methods:
- The technique involves a lateral approach to the cervical spine.
- It includes drilling a trench in the vertebral body for decompression.
- Nerve root decompression is achieved by opening the foramen.
Main Results:
- The procedure allows wide anterior decompression of the spinal cord.
- Complete unilateral nerve root decompression is achieved.
- Spinal stability and motion are preserved, with no need for fusion.
Conclusions:
- Multilevel oblique corpectomy is an effective alternative for spinal decompression.
- It preserves spinal stability and motion.
- It is indicated for spondylotic myelopathy with specific spinal conditions.
