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General Structure of a Vertebra

General Structure of a Vertebra

A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...

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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

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Published on: September 16, 2022

Cervical spinous process reconstruction.

Ripul R Panchal¹, Huy T Duong, Kiarash Shahlaie

¹Department of Neurological Surgery, UC Davis Medical Center, Sacramento, California.

Journal of Neurosurgery. Spine

|November 12, 2013

Summary

This summary is machine-generated.

Cervicothoracic laminectomy can cause neck deformities. A new spinous process reconstruction technique using titanium mesh effectively repairs these defects, improving patient outcomes.

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Area of Science:

Neurosurgery
Orthopedic Surgery
Spinal Deformity Correction

Background:

Cervicothoracic laminectomies can lead to significant posterior neck deformities, including unsightly crater-like defects.
These defects can cause pain and cosmetic concerns despite multilayer wound closure.

Observation:

A 64-year-old male patient presented with progressive quadriparesis due to cervical spondylotic myelopathy after multiple prior neck surgeries, including cervicothoracic decompressive laminectomy.
The patient developed severe craniocervical spinal deformity and a large, painful, concave surgical defect in his neck.

Findings:

The authors performed craniocervical decompression and instrumented stabilization.
Simultaneously, cervicothoracic spinous process reconstruction using titanium mesh was employed to address the neck defect.
This novel technique provided a simple solution for the post-laminectomy defect.

Implications:

Spinous process reconstruction offers a viable method to correct post-laminectomy neck deformities.
The technique shows promise for improving both the functional and aesthetic outcomes for patients undergoing cervicothoracic laminectomy.
This approach can mitigate the long-term morbidity associated with significant surgical defects in the posterior neck region.