2009-10-12 12:26:33 -
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Procedure for anterior cervical corpectomy spine surgery
When the cervical disease encompasses more than just the disc space, the spine surgeon may recommend removal of the vertebral body as well as the disc spaces at either end, to completely decompress the cervical canal. This procedure, a corpectomy, is often done for multi-level cervical stenosis with spinal cord compression caused by bone spur (osteophytes) growth.
Strut graft to achieve a spine fusion
After a corpectomy has been performed, the surgeon needs to mechanically reconstruct the defect created and to provide long-term stability of the spine with a spine fusion. A strut graft is a piece of bone (1-2 inches) that is inserted into the trough created by the corpectomy(ies) that supports the anterior
vertebral column.
Potential risks and complications of anterior cervical corpectomy surgery
A corpectomy is a more extensive procedure than a discectomy so the risks are statistically greater, especially with respect to neurologic issues, bone grafting and bleeding. The risk that spine surgeons worry about the most is compromise of the spinal cord that can lead to complete or partial quadriplegia. Bear in mind that corpectomy surgeries are most often undertaken in circumstances of significant spinal cord problems, which place the cord at greater risk for problems during surgery, independent of the skill and finesse with which the procedure is performed. To help manage this risk, the spinal cord function is often monitored during surgery by Somatosensory Evoked Potentials (SSEPs). SSEPs generate a small electrical impulse in the arms/legs, measure the corresponding response in the brain, and record the length of time it takes the signal to get to the brain. Any marked slowing in the length of time may indicate compromise to the spinal cord
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