A Novel Reconstruction Using a Combined Anterior and Posterior Approach After Axis Tumor Spondylectomy

Study Design:
This was a retrospective study.
Objective:
To describe a novel reconstruction strategy using a T-shaped titanium mesh cage with posterior cervical screw-rod fixation after total spondylectomy of axis tumors.
Summary of Background Data:
Instability of the upper cervical spine because of tumors in axis (C2) often results in devastating complications. Surgical resection and reconstruction after spondylectomy of C2 remain a technical challenge because of the intricate anatomies, vital adjacent tissues, and the unique spinal biomechanics in this special region.
Materials and Methods:
The novel reconstruction mode included the construction of the anterior aspect conducted with a specially made titanium mesh cage and the posterior cervical fixation only. Patients who received total C2 tumors spondylectomy and reconstruction with this novel mode in our center between January 2009 and December 2017 were retrospectively analyzed to evaluate the efficacy of this novel reconstruction method.
Results:
A total of 24 patients with C2 tumor received total spondylectomy and the new mode of local reconstruction. The neurological deficits recovered well and local pain relieved significantly (P

Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research