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Cervical corpectomy and plate fixation for postlaminectomy kyphosis
1Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital, Phoenix, Arizona.
Journal of Neurosurgery
|June 1, 1994
Summary
Anterior cervical plating effectively treats symptomatic postlaminectomy kyphosis, achieving solid fusion and improving neurological function. This surgical approach helps maintain spinal alignment and reduces neck deformity in patients.
Area of Science:
- Spine surgery
- Orthopedics
- Neurosurgery
Background:
- Postlaminectomy kyphosis is a complex spinal deformity following laminectomy.
- Symptomatic patients often present with neck pain, myeloradiculopathy, and instability.
- Previous treatments had limited success in correcting deformity and achieving fusion.
Observation:
- Twenty patients with symptomatic postlaminectomy kyphosis underwent anterior decompression, bone grafting, and anterior cervical plating.
- The mean kyphosis was 38 degrees, with anterior compressive pathology being a common factor.
- Treatment involved anterior corpectomy, bone fusion, and fixation with anterior plating.
Findings:
- All patients achieved solid fusion with a mean residual kyphosis of 16 degrees.
- Neurological improvement was observed in 65% of patients, with 10% fully cured.
- Anterior plating facilitated fusion, maintained spinal curvature, and promoted neurological recovery.
Implications:
- Anterior cervical plating is a viable and effective surgical option for symptomatic postlaminectomy kyphosis.
- This technique offers significant benefits in terms of spinal alignment and neurological outcomes.
- Further research can explore long-term results and compare different plating systems.