It involves the removal of the vertebral body as well as the disc spaces at either end, to completely decompress the cervical canal. The multilevel oblique corpectomy moc allows widening of the spinal canal and foramen trough via an anterolateral access to the cervical spine with control of the vertebral artery and does not. The ages of the patients ranged from 46 to 72 years. Oblique corpectomy for treatment of cervical spine epidural. An anterior cervical corpectomy is a procedure performed when cervical disease encompasses more than just the disc space, such as multilevel cervical stenosis or spinal cord compression caused by bone spur growth. Multilevel oblique corpectomy for cervical spondylotic myelopathy preserves segmental motion article pdf available in european spine journal 217. The value of intraoperative ultrasound in oblique corpectomy. However, the use of an oblique drilling plane is unfamiliar to most surgeons and there is no anatomical landmark. The value of intraoperative ultrasound in oblique corpectomy for cervical spondylotic myelopathy and ossified posterior longitudinal ligament. Do not go in bath tubs, lakes, pools, or hot tubs until wound is completely healed. Anterior cervical corpectomy orthopaedicsone articles. Surgery involved anterior cervical exposure and partial oblique corpectomy, which was essentially an extended midline and lateral undercutting of the body.
The evidence of failure of long constructs has been investigated in biomechanical studies. Pdf the value of intraoperative ultrasound in oblique. Comparison of multilevel oblique corpectomy with and. The multilevel oblique corpectomy moc allows widening of the spinal canal and foramen trough via an anterolateral access to the cervical spine with control of the vertebral artery and does not require vertebral stabilization or fusion. Anterior cervical corpectomy anterior in the human anatomy, referring to the front surface of the body or position of one structure relative to another cervical relating to the neck, in the spine relating to the.
To perform an evidence synthesis of the literature assessing the efficacy of arthroplasty, oblique corpectomy without fusion, and skip laminectomy to treat symptomatic cervical spondylotic myelopathy csm. Limited oblique corpectomy for treatment of ossified posterior. Limited oblique corpectomy for treatment of ossified posterior longitudinal ligament a goel 1, s pareikh 2 1 department of neurosurgery, king edward memorial hospital and seth gordhandas sunderdas medical college, parel, mumbai, india 2 lilavati hospital and research centre, bandra, mumbai, india. Cervical spondylotic myelopathy csm is a syndrome describing a wide spectrum of degenerative changes within the cervical motion segments that ultimately result in spinal cord compression at one or more levels. Surgery involved anterior cervical exposure and partial oblique corpectomy, which was essentially an. The t2 stratosphere expandable corpectomy system is used in skeletally mature patients to replace a collapsed, damaged, or unstable vertebral body caused by tumor, trauma i. In a series of 5 patients undergoing multilevel oblique corpectomy for cervical myelopathy, 3 had opll with massive oall that was asymptomatic. The ap oblique cervical spine projections are supplementary views to the standard ap, odontoid and lateral cspine series. Four patients with cervical seas were treated with oblique corpectomy in our department over the last 10 years. Kiris t, kilincer c 2008 cervical spondylotic myelopathy treated by oblique corpectomy. Alone interbody device only, divergencel anterioroblique lumbar fusion system, elevate spinal system, perimeter interbody fusion device, pivox oblique lateral spinal system, sovereign spinal system, t2 stratosphere expandable corpectomy system cervical and thoracolumbar regulation number. Multilevel oblique corpectomy for cervical spondylotic myelopathy preserves segmental motion.
Multilevel oblique corpectomy without fusion in managing. The multilevel oblique corpectomy moc allows widening of the spinal canal and foramen trough via an anterolateral access to the cervical spine with control of. Pdf on jan 24, 2018, salvatore chibbaro and others published multilevel oblique corpectomy find, read and cite all the research you need on researchgate. Cervical spine ap oblique view radiology reference. Anterior cervical corpectomy risks and complications. Caring for myself after anterior cervical corpectomy fusion. This retrospective study included 109 patients93 with cervical spondylotic myelopathy and 16 with ossified posterior longitudinal ligament in whom spinal curvature and range of segmental movements were assessed on neutral and. Caring for myself after anterior cervical corpectomy and fusion 5 do not be afraid of hurting the wound because of the soap and water. Multilevel oblique corpectomy moc is an emerging technique for surgical treatment of multisegmental cervical spondylotic myelopathy csm featuring extensive ossification of the posterior longitudinal ligament opll. The technique of oblique corpectomy has been reported for the first time in 1993 to access lesions developed in the anterior part of the spinal canal 1. During a 7year period, multilevel oblique corpectomy was performed in 48 consecutive patients. Pdf oblique corpectomy to manage cervical myeloradiculopathy.
Comparison of multilevel oblique corpectomy with and without image guided navigation for multisegmental cervical spondylotic myelopathy. Oblique corpectomy to manage cervical myeloradiculopathy ncbi. Limited oblique corpectomy for treatment of ossified. Multilevel cervical oblique corpectomy andor lateral foraminotomy allow wide decompression of nervous structures, while maintaining optimal. Multilevel oblique corpectomy for cervical spondylotic. It can be taken either as an anterior oblique or posterior oblique projection. Anterior cervical corpectomy surgical spine treatment.
Oblique cervical corpectomy occ is a lateral cervical approach used as an alternative to a central corpectomy, with the advantage of preserving motion since no fusion is performed. All patients presented with symptoms of progressively increasing. Sep 01, 2007 since 1992, we have developed an alternative technique to the anterior approach and median corpectomy, which is the oblique corpectomy through a lateral approach to the cervical spine. All patients presented with symptoms of progressively increasing myelopathy. Figure 2 from oblique corpectomy to manage cervical. The rationale for this approach and surgical technique are discussed, as well as the advantages, disadvantages, complications, and pitfalls based on the authors experience over the last two decades. Clinicobiomechanical considerations on oblique corpectomy. Managing spondylotic cervical myeloradiculopathy using.
Oblique corpectomy to manage cervical myeloradiculopathy. Two patients had severe medical comorbidities, and the third showed coexisting sclerosis multiplex. The oblique corpectomy preserves the ventral half of the vertebral body and does not require stabilization. Comparison of multilevel oblique corpectomy with and without. Longterm results of anterior cervical corpectomy and fusion. It is important that all patients are physically and psychologically prepared. Clinical and radiological outcomes in 153 patients undergoing oblique corpectomy for cervical spondylotic myelopathy. The opll was removed using microdrills while preserving the oall. Oblique corpectomy in the cervical spine spinal cord. Anterior cervical corpectomy and fusion accf is commonly performed to treat cervical spondylosis, cervical radiculopathy, or both. Four patients with cervical opll were treated by the discussed technique during the period. To document the neurological outcome, spinal alignment and segmental range of movement after oblique cervical corpectomy occ for.
Similar to a discectomy, the risks and possible complications of this surgery for cervical spinal stenosis include. Oblique corpectomy oc is an alternative technique for the resection of spondylotic spurs ventral to the cervical spinal cord contributing to cervical spondylotic myelopathy csm and cervical. The authors describe the use of anterolateral partial oblique corpectomy in 40 patients with cervical myelopathy. Multilevel oblique corpectomy without fusion in managing cervical. Cervical spine, corpectomy, decompression, myelopathy, vertebral artery. Jul 01, 2012 read multilevel oblique corpectomy for cervical spondylotic myelopathy preserves segmental motion, european spine journal on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. The oblique corpectomy, forgotten but an effective. T2 arthroplasty, oblique corpectomy, skip laminectomy. Multilevel cervical oblique corpectomy in the treatment of. The oblique corpectomy according to goel was first described in 2005. Pdf cervical spondylotic myelopathy and radiculopathy.
Anterior cervical corpectomy is an approved and effective method for fusing the cervical spine to treat cervical spinal stenosis. It is indicated in patients with a stable cervical spine and can be used for as many cervical levels as needed. Over last few years various clinical series 3439 about oblique corpectomy as well as experimental studies 40, 41 have been published. Multilevel oblique corpectomy for cervical spondylotic myelopathy preserves segmental motion by a. Oblique corpectomy in the cervical spine request pdf.
The majority of patients are satisfied with their pain relief and the results of their surgery. Alternative procedures for the treatment of cervical. T1 alternative procedures for the treatment of cervical spondylotic myelopathy. The procedure of oblique cervical corpectomy occ illustrates maintenance of a considerable part of the ventral and lateral sides of the vertebral body. The reason it is attractive that it allows for a long segment of decompression up to five levels without the need for a bone graft or instrumentation as its proponents. May 26, 2016 to assess the longterm clinical and radiographic outcomes of anterior cervical corpectomy and fusion accf with a neotype nanohydroxyapatitepolyamide 66 nhapa66 strut in the treatment of. The purpose of this article is to detail the advantages and disadvantages of this technique and to describe the preoperative selection criteria and the. Anterior cervical corpectomy is a wellestablished procedure that has been used.
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