椎体切除术
医学
椎板成形术
外科
颈椎前路椎间盘切除融合术
脊髓病
脊柱融合术
颈椎
减压
颈椎
脊髓
精神科
作者
Philip K. Louie,Venu M. Nemani,Jean‐Christophe Leveque
出处
期刊:Clinical spine surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2022-11-14
卷期号:35 (10): 440-446
被引量:10
标识
DOI:10.1097/bsd.0000000000001410
摘要
Anterior cervical corpectomy and fusion (ACCF) provides an extensive decompression and provides a large surface area for fusion in patients presenting with cervical spondylotic myelopathy. Unfortunately, this procedure is a more difficult spinal surgery to perform (compared with a traditional anterior cervical discectomy and fusion) and has a higher incidence of overall complications. In literature, ACCF has functional outcomes that seem clinically equivalent to those for multilevel anterior cervical discectomy and fusion, especially when contained to 1 vertebral body level, and in cases, for which both posterior and anterior procedures would be appropriate surgical options, may provide greater long-term clinical benefit than posterior fusion or laminoplasty. In this manuscript, we summarize the indications and outcomes following ACCF for degenerative cervical spondylotic myelopathy. We then describe a case presentation and associated surgical technique with a discussion of complication avoidance with this procedure.
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