@article{JSS4503,
author = {Derek T. Cawley and Abdulmajeed Alzakri and Takashi Fujishiro and David C. Kieser and Celeste Tavalaro and Louis Boissiere and Ibrahim Obeid and Vincent Pointillart and Jean Marc Vital and Olivier Gille},
title = {Carbon-fibre cage reconstruction in anterior cervical corpectomy for multilevel cervical spondylosis: mid-term outcomes},
journal = {Journal of Spine Surgery},
volume = {5},
number = {2},
year = {2019},
keywords = {},
abstract = {Background: Mid-term clinical and radiological evaluation of a carbon-fiber cage in multilevel cervical spondylosis (MCS). Anterior cervical corpectomy and fusion (ACCF) using titanium mesh cages (TMC) has shown satisfactory outcomes, but with subsidence of up to 20%. Conventional long-fiber carbon fiber cages have shown a safe profile in discectomy/fusion (ACDF) but with minimal data in the setting of corpectomy.
Methods: Retrospective review of a single centre multi-surgeon cohort of MCS patients from 2007–2012. Follow-up period was a minimum of 3.5 years, mean 6 years. Outcomes included peri-operative, clinical [Nurick, European Myelopathy, Visual Analogue Scores (VAS), modified Japanese Orthopaedic Association (mJOA) scores and radiographic (C2C7, Cobb & ROM angles)].
Results: A total of 102 consecutive patients were included. Mean length of stay was 5.5 (SD 3.5) days, blood loss 322 (SD 358) mL and operative time 98 (SD 31) min. Corpectomy levels included 72 single-level ACCF and 30 multiple ACCF. Fourteen had peri-operative complications. Three patients required early cage revisions. Mean pain scores improved from VAS neck 4.6 to 2.6 (P},
issn = {2414-4630}, url = {https://jss.amegroups.org/article/view/4503}
}