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Oblique corpectomy in the cervical spine.
Tomasz Tykocki1, Łukasz A Poniatowski2,3, Marcin Czyz4
1Spinal Unit, Royal Victoria Infirmary, Newcastle, UK. ttykocki@gmail.com.
Spinal Cord
|December 7, 2017
Summary
Oblique corpectomy (OC) offers good outcomes for cervical spine pathologies like CSM, achieving over 70% improvement. While effective for decompression, it carries risks and isn't a first-line treatment.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Orthopedic Surgery
Background:
- Cervical spine pathologies require effective surgical management.
- Oblique corpectomy (OC) is an anterior surgical approach for cervical spine conditions.
- Understanding the efficacy and risks of OC is crucial for patient selection.
Purpose of the Study:
- To review the application of oblique corpectomy (OC) in various cervical spine pathologies.
- To evaluate the clinical outcomes and potential complications associated with OC.
- To determine the suitability of OC as a treatment option for specific spinal conditions.
Main Methods:
- A narrative review of existing literature.
- Searches conducted on PubMed and Google Scholar up to March 2017.
- Inclusion of 26 studies reporting on OC applications.
Main Results:
- Multilevel OC demonstrates good clinical outcomes (>70% improvement) in cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament.
- OC provides wide spinal cord and nerve root decompression, preserving spinal motion without compromising stability.
- Potential risks include Horner's syndrome and injury to vertebral artery/accessory nerve; OC is suitable for patients with low fusion rates.
Conclusions:
- OC is a valid alternative for multisegmental CSM in select cases but not a first-line treatment due to morbidity.
- Further rigorous prospective studies are needed to compare OC without fusion to other treatments for CSM.
