Abstract
BackgroundThe sub-axial vertebrae are formed of body, pedicles, laminae, facets, and spinous process. Cervical cord compression by anteriorly located retro-vertebral traumatic, inflammatory, neoplastic, and degenerative lesions is not rare, and in such cases, simple discectomy does not solve the problem. Corpectomy, grafting, and plating may help in management of these dangerous lesions.MethodsFrom May 2014 to December 2016, 30 cases with cervical myelopathy due to anteriorly located retro-vertebral traumatic, inflammatory, neoplastic, and degenerative lesions were operated upon by single, double, or triple levels corpectomy, grafting by bone graft or corpectomy cage and plating. Patients were followed up for 1 to 3 years both clinically and radiologically.ResultsImprovement of myelopathic manifestations (partial or complete) occurred in all cases within a variable time from 3 to 15 months. Bony fusion was sound in 27 cases and poor in 3 cases. Post-operative complications were mild and reversible.ConclusionsCorpectomy, grafting, and plating give a very good decompressive chance to the compressed cord by retro-vertebral lesions without any added risk.
Highlights
The sub-axial vertebrae are formed of body, pedicles, laminae, facets, and spinous process
The spinal cord surrounded by its meninges is located in the spinal canal formed by the posterior aspect of vertebral bodies, two pedicles, and two laminae
Corpectomy, grafting, and plating would be considered as the ideal management of these dangerous lesions
Summary
The sub-axial vertebrae are formed of body, pedicles, laminae, facets, and spinous process. Cervical cord compression by anteriorly located retro-vertebral traumatic, inflammatory, neoplastic, and degenerative lesions is not rare, and in such cases, simple discectomy does not solve the problem. Corpectomy, grafting, and plating may help in management of these dangerous lesions. The spinal cord surrounded by its meninges is located in the spinal canal formed by the posterior aspect of vertebral bodies, two pedicles, and two laminae. Corpectomy, grafting, and plating would be considered as the ideal management of these dangerous lesions. The corpectomy provides adequate decompression of the cord. Bone grafting maintains the vertebral height and provides adequate vertebral orientation and stability. Plating prevents graft dislodgment and increases the rate of bony fusion [4–9]
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