ANTERIOR CERVICAL RECONSTRUCTION USING TITANIUM MESH CAGES

Authors

  • Shahzad Shams
  • Muhammad Javaid Rashid

Abstract

Background: Surgical management of cervical lesions with reconstruction procedures has
remarkably expanded the options available in the last decade. Anterior cervical corpectomy with
titanium mesh reconstruction is one of the effective method of cervical spine reconstruction.
Methods: We studied 17 consecutive cases in whom corpectomy and decompression was
performed. Fusion with titanium mesh cages filled with local bone pieces were placed inside the
cage. Results: Clinical status improved in 13 patients whereas in 3 it remained unchanged, based
on Nurick's classification. At 3 months follow up, 13 (76.4%) patients reported successful arm
pain relief and 12 (70.5% ) with neck pain relief with visual analog score below five.
Complications included cage in kyphosis, radiculopathy, cage subsidence and wound infection.
Conclusion: Outcome after cervical fusion procedures with a titanium mesh cage lead to early and
good stability of the cervical spine, excellent neurological improvement, low risk of complication
and rare need for endogenous bone graft harvest avoiding donor site morbidity, less postoperative
pain and decreased hospital stay and cost.
Keywords: Cervical Spine, Reconstruction, Titanium Mesh Cage

References

Cho DY, Lee WY, Sheu PC. Treatment of multilevel cervical

fusion with cages. Surg Neurol. 2004;62(5):378-85.

Hwang SL, Lin CL, Lieu AS, Lee KS, Kuo TH, Hwang YF

et al. Three-level and four-level anterior cervical

discectomies and titanium cage-augmented fusion with and

without plate fixation. J Neurosurg Spine. 2004;1(2):160-7.

Moreland DB, Asch HL, Clabeaux DE, Castiglia GJ, Czajka

GA, Lewis PJ et al. Anterior cervical discectomy and fusion

with implantable titanium cage: initial impressions, patient

outcomes and comparison to fusion with allograft. Spine J.

;4(2): 184-91.

Cauthen JC, Theis RP, Allen AT. Anterior cervical fusion: a

comparison of cage, dowel and dowel-plate constructs. Spine

J. 2003;3(2): 106-17.

Hee HT, Majd ME, Holt RT, Whitecloud 3rd TS, Pienkowski

D. Complications of Multilevel Cervical Corpectomies and

Reconstruction With Titanium Cages and Anterior Plating. J

Spinal Disord Tech 2003;16(1): 1-8.

Kandziora F, Pflugmacher R , Schäfer J, Born C, Duda G ,

Haas NP et al. Biomechanical comparison of cervical spine

interbody fusion cages. Spine 2001;26(17): 1850-7.

Thalgott JS, Xiongsheng C, Giuffre JM. Single stage anterior

cervical reconstruction with titanium mesh cages, local bone

graft and anterior plating. Spine J. 2003;3(4): 294-300.

Profeta G, de Falco R, Ianniciello G, Profeta L, Cigliano A,

Raja AI. Preliminary experience with anterior cervical

microdiscectomy and interbody titanium cage fusion (Novus

CT-Ti) in patients with cervical disc disease. Surg Neurol.

;53(5): 417-26.

Majd ME, Vadhva M, Holt RT. Anterior cervical

reconstruction using titanium cages with anterior plating.

Spine. 1999; 24(15): 1604-10.

Hacker RJ, Cauthen JC, Gilbert TJ, Griffith SL. A

prospective randomized multicenter clinical evaluation of an

anterior cervical fusion cage. Spine. 2000;25(20): 2646-54.

Narotam PK, Pauley SM, McGinn GJ. Titanium mesh cages

for cervical spine stabilization after corpectomy: a clinical

and radiological study. J Neurosurg. 2003;99(2 Suppl): 172-

Kanayama M, Hashimoto T, Shigenobu K, Oha F, Ishida T,

Yamane S. Pitfalls of anterior cervical fusion using titanium

mesh and local autograft. J. Spinal Disord Tech. 2003;16(6):

-8.

Daubs MD, Early failures following cervical corpectomy

reconstruction with titanium mesh cages and anterior plating.

Spine. 2005; 30(12):1402-6.

Ramani PS, Sharma A, Jituri S, Muzumdar DP, Anterior

instrumentation for cervical spine tuberculosis: an analysis of

surgical experience with 61 cases. Neurol India.

;53(1):83-9.

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Published

2007-03-01

How to Cite

Shams, S., & Rashid, M. J. (2007). ANTERIOR CERVICAL RECONSTRUCTION USING TITANIUM MESH CAGES. Journal of Ayub Medical College Abbottabad, 19(1), 23–25. Retrieved from https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/4284

Issue

Vol. 19 No. 1 (2007): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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