PMID: 20098036Jan 26, 2010Paper

New surgical technique to secure the bone strut during anterior cervical corpectomy and fusion: kusabi fixation technique--technical note

Neurologia Medico-chirurgica
Satoshi TaniToshiaki Abe

Abstract

Fixation using an anterior cervical plate is frequently used in anterior cervical discectomy or corpectomy and fusion procedures because of the higher fusion rate than without instrumentation. The surgical outcomes with the anterior plate technique are acceptable, but various hardware-related complications have been reported. The authors describe a new surgical technique, called the kusabi fixation technique, for securing the bone strut during anterior cervical corpectomy using cylindrical cages. Following corpectomy, the trimmed bone strut was placed into the space drilled-out. Two small holes of 5-6-mm diameter and 5-mm depth were drilled out at the interface of two bones at the top and bottom of the bone strut in a diagonal orientation. Two cylindrical cages filled with autologous bone tips were tapped into the interface. Eight patients with myelopathy were treated by this method. All procedures were uneventfully performed as a single level surgery (two vertebral bodies and one disk level). Solid bone union was obtained in all patients at 6 months after the operation. Apparent alignment change in the cervical spine was observed in only one patient, who developed asymptomatic kyphosis. No instrumentation failure or significan...Continue Reading

References

Jun 14, 2006·Journal of Spinal Disorders & Techniques·Kostas N FountasJoe Sam Robinson
Jul 4, 2007·Journal of Spinal Disorders & Techniques·Nancy E Epstein
Jul 31, 2007·Surgical Neurology·Ramesh L Sahjpaul
Aug 9, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jan StulikWolf Ingo Steudel
Oct 2, 2007·Spine·Kostas N FountasJoe S Robinson

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Citations

Dec 20, 2017·British Journal of Neurosurgery·Hakan ŞimşekAhmet Çolak

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