Delayed Iliac Crest Autograft Fractures Following Plated Single-Level Anterior Cervical Corpectomy With Fusion

Recurrent cervical pain following single-level plated anterior corpectomy with fusion signaled delayed mid-iliac crest autograft fractures in four of 56 patients. Single-level anterior corpectomy with fusion used 15 fixed plates (Sofamor Danek) and 41 dynamic ABC plates (Aesculap). Patients in the fixed-plate and dynamic-plate groups averaged 46 and 48 years of age, respectively. Fusion was confirmed on both dynamic radiograph and two-dimensional CT studies an average of 4.5 months postoperatively. Two (13%) fixed-plated patients developed mid-iliac crest strut fractures 1 and 2 years postoperatively, whereas two (5%) dynamic-plated patients showed similar fractures 6 and 9 months following surgery. Immobilization in CTO orthoses resulted in fusion in one case, whereas three patients required secondary posterior wiring/fusion. Recurrent pain signaled delayed autograft strut fractures in four of 56 patients undergoing plated single-level anterior corpectomy with fusion.

[1]  N. Epstein.  Anterior Dynamic Plates in Complex Cervical Reconstructive Surgeries , 2002, Journal of spinal disorders & techniques.

[2]  N. Epstein.  A Comparative Analysis of Plate/Graft Failure with Correction Following Circumferential Cervical Spinal Surgery , 2002 .

[3]  N. Epstein,et al.  Computed tomography validating bony ingrowth into fibula strut allograft: a criterion for fusion. , 2002, The spine journal : official journal of the North American Spine Society.

[4]  N. Epstein.  Reoperation rates for acute graft extrusion and pseudarthrosis after one-level anterior corpectomy and fusion with and without plate instrumentation: etiology and corrective management. , 2001, Surgical neurology.

[5]  N. Epstein.  Anterior cervical diskectomy and fusion without plate instrumentation in 178 patients. , 2000, Journal of spinal disorders.

[6]  M. Bernstein,et al.  Awake craniotomy with brain mapping as the routine surgical approach to treating patients with supratentorial intraaxial tumors: a prospective trial of 200 cases. , 1999, Journal of neurosurgery.

[7]  M. Eleraky,et al.  Cervical corpectomy: report of 185 cases and review of the literature. , 1999, Journal of neurosurgery.

[8]  D. Jones.  Neonatal detection of developmental dysplasia of the hip (DDH) , 1998, The Journal of bone and joint surgery. British volume.

[9]  S. Emery,et al.  Anterior Cervical Decompression and Arthrodesis for the Treatment of Cervical Spondylotic Myelopathy. Two to Seventeen-Year Follow-up* , 1998, The Journal of bone and joint surgery. American volume.

[10]  F. Geisler,et al.  Reoperation in Patients After Anterior Cervical Plate Stabilization in Degenerative Disease , 1998, Spine.

[11]  N. Epstein.  Evaluation And Treatment Of Clinical Instability Associated With Pseudarthrosis After Anterior Cervical Surgery For Ossification Of The Posterior Longitudinal Ligament , 1998 .

[12]  G. Lowery,et al.  The Significance of Hardware Failure in Anterior Cervical Plate Fixation: Patients With 2‐ to 7‐Year Follow‐up , 1998, Spine.

[13]  C. Branch,et al.  Revision of anterior cervical pseudoarthrosis with anterior allograft fusion and plating. , 1997, Journal of neurosurgery.

[14]  N. Epstein.  Vertebral body fractures following extensive anterior cervical surgical procedures for ossification of the posterior longitudinal ligament , 1997 .

[15]  C. Dickman,et al.  Radiographic and clinical follow-up review of Caspar plates in 49 patients. , 1996, Journal of neurosurgery.

[16]  D. D. Anderson,et al.  Biomechanical Evaluation of Cervical Spine Stabilization Methods Using a Porcine Model , 1995, Spine.

[17]  P. Connolly,et al.  Anterior Cervical Plate Fixation with the Titanium Hollow Screw Plate System , 1993, Spine.

[18]  H. Kaufman,et al.  The Principles of Bony Spinal Fusion , 1989, Neurosurgery.

[19]  Brown Cw,et al.  The rate of pseudarthrosis (surgical nonunion) in patients who are smokers and patients who are nonsmokers: a comparison study. , 1986 .

[20]  C. W. Brown,et al.  The Rate of Pseudarthrosis (Surgical Nonunion) in Patients Who Are Smokers and Patients Who Are Nonsmokers: A Comparison Study , 1986, Spine.

[21]  H. Burchardt.  The biology of bone graft repair. , 1983, Clinical orthopaedics and related research.