A biomechanical study [ 23] demonstrated that long bone strut grafts and cervical plate which required a longer fixed force arm were needed for multilevel corpectomy.
Background context: Static and dynamic X-ray studies routinely determine whether or not fusion of a fibula strut allograft has occurred after multilevel anterior corpectomy with fusion (ACF) combined with posterior wiring and fusion (PWF).
Long-term results, however, are lacking, and there is little information on reconstruction after multilevel corpectomies.
Anterior approaches including multilevel discectomy with fusion or vertebral corpectomy with strut grafting, both with and without instrumentation, have enjoyed successful outcomes, but have been associated with select postoperative complications.
Anterior corpectomy with adjuvant posterior soft tissue release results in more focal lordosis.
The mJOA scores are shown in Table 1.> -wrap-foot> anteriorterior cervical discectomy with fusion; ACCF: anterior cervical corpectomy with fusion; mJOA: modified Japanese Orthopaedic Association scores.
Furthermore, performing a corpectomy with discs resection can increase fusion rate and allow a removal of disc trapped in the vertebral body.
Depending on the pathology of the patients, the following surgical procedures are performed: 1 level anterior cervical disectomy with interbody fusion (ACDF) or disc prosthesis, 2 level ACDF, or corpectomy with placement of expandable cage.
Regarding the current surgery index, 35.9% (51/142) of the patients underwent anterior cervical discectomy with fusion, 4.9% (7/142) underwent anterior cervical corpectomy with fusion, 7.9% (10/142) underwent artificial intervertebral disc replacement, and 52.1% (74/142) underwent laminoplasty.
Our study adopted the following MeSH terms and keywords: [ cervical spondylotic myelopathy" or "CSM"] and ["anterior cervical fusion" or "anterior cervical corpectomy with fusion" or "ACCF" or "anterior cervical discectomy with fusion" or "ACDF"].
