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Related Experiment Videos

Total subaxial reconstruction.

Vincent C Traynelis1

  • 1Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. vincent_traynelis@rush.edu

Journal of Neurosurgery. Spine
|October 5, 2010
PubMed
Summary
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Total subaxial cervical spine reconstruction offers significant benefits for selected patients, showing improved sagittal alignment and reduced pain. This surgical approach demonstrates acceptable morbidity and positive outcomes in patient recovery.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Cervical spinal conditions may necessitate extensive decompression and reconstruction.
  • Limited data exists on the clinical details and outcomes of total subaxial cervical spine reconstruction.
  • This study addresses the need for comprehensive data on this complex procedure.

Purpose of the Study:

  • To describe the surgical technique for total subaxial cervical spine reconstruction.
  • To review the postoperative outcomes and complications associated with this procedure.
  • To evaluate the efficacy of this approach in improving patient function and pain.

Main Methods:

  • Prospective data collection from 27 consecutive patients undergoing anterior decompression and reconstruction.

Related Experiment Videos

  • Subsequent posterior instrumented arthrodesis with or without decompression.
  • Follow-up assessment including clinical outcomes, radiographic measurements, and patient-reported functional scores.

    • Main Results:

    • Significant improvement in sagittal Cobb angle (kyphosis to lordosis) (p < 0.0001).
    • Reduced Neck Disability Index (p = 0.0008) and Visual Analog Scale (VAS) pain scores for neck (p = 0.0004) and arm (p = 0.001).
    • High rates of excellent (8 patients) and good (14 patients) outcomes based on Odom criteria, with improved Nurick scores (p = 0.002).

    Conclusions:

    • Segmental anterior decompression and reconstruction of the entire subaxial cervical spine with posterior fusion is feasible.
    • The procedure can be performed with acceptable morbidity in selected patients.
    • This approach provides significant clinical benefits, including improved spinal alignment and functional recovery.