Subtotal cervical body replacement by C-shaped iliac crest graft. Technical note

Area of Science:

• Orthopedic Surgery
• Spinal Fusion Techniques
• Trauma Management

Background:

• Cervical vertebral body fractures, including tear drop and burst compression types, pose significant challenges in spinal reconstruction.
• Current treatment options may involve complex procedures with varying outcomes.
• Effective methods for restoring cervical stability and function are crucial.

Purpose of the Study:

• To describe a novel surgical approach for subtotal cervical vertebral body replacement.
• To evaluate the efficacy of combining a C-shaped iliac crest graft with the Caspar trapezial osteosynthetic plate technique.

Main Methods:

• The described method involves the use of a C-shaped autograft harvested from the iliac crest.
• This graft is utilized for subtotal replacement of the fractured cervical vertebral body.
• Stabilization is achieved using the Caspar trapezial osteosynthetic plate technique.

Main Results:

• The presented technique offers a viable solution for subtotal cervical vertebral body reconstruction.
• It allows for stable fixation and fusion in cases of severe cervical trauma.
• This approach aims to restore biomechanical integrity of the cervical spine.

Conclusions:

• The combined use of an iliac crest graft and Caspar plate technique provides a reliable method for subtotal cervical vertebral body replacement.
• This surgical strategy is effective for managing complex cervical fractures.
• Further studies may explore long-term outcomes and comparative analyses.