Regional instability following cervicothoracic junction surgery

Journal of Neurosurgery. Spine
Michael P SteinmetzEdward C Benzel

Abstract

The cervicothoracic junction (CTJ) is the transitional region between the cervical and thoracic sections of the spinal axis. Because it is a transitional zone between the mobile lordotic cervical and rigid kyphotic thoracic spines, the CTJ is a region of potential instability. This potential for instability may be exaggerated by surgical intervention. A retrospective review of all patients who underwent surgery involving the CTJ in the Department of Neurosurgery at the Cleveland Clinic Foundation during a 5-year period was performed. The CTJ was strictly defined as encompassing the C-7 vertebra and C7-T1 disc interspace. Patients were examined after surgery to determine if treatment had failed. Failure was defined as construct failure, deformity (progression or de novo), or instability. Variables possibly associated with treatment failure were analyzed. Statistical comparisons were performed using the Fisher exact test. Between January 1998 and November 2003, 593 CTJ operations were performed. Treatment failed in 14 patients. Of all variables studied, failure was statistically associated with laminectomy and multilevel ventral corpectomies with fusion across the CTJ. Other factors statistically associated with treatment failure...Continue Reading

References

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Citations

Jan 12, 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·Henry E AryanChristopher P Ames
Jul 4, 2009·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·Heiko KollerMichael Mayer
Mar 3, 2010·Journal of Neurosurgery. Spine·Ryan M KretzerP Justin Tortolani
Aug 3, 2010·Journal of Neurosurgery. Spine·Krista KeachieJ Paul Muizelaar
Mar 5, 2016·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·Liujun ZhaoNabil A Ebraheim
Jun 9, 2007·Neurosurgery Clinics of North America·Vincent Y Wang, Dean Chou
Sep 12, 2015·Clinical Neurology and Neurosurgery·Mauricio J AvilaAli A Baaj
Jan 24, 2016·World Neurosurgery·Michael SafaeeChristopher P Ames
Jul 15, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kamran V SattarovAli A Baaj
Dec 4, 2013·The Spine Journal : Official Journal of the North American Spine Society·Muhannad H Kurtom, Khalid H Kurtom
Jun 12, 2008·Arquivos de neuro-psiquiatria·Asdrubal FalavignaAlisson Roberto Teles
Oct 10, 2018·Clinical Spine Surgery : a Spine Publication·Seung-Jin ChoiSang-Jun Park
Sep 11, 2021·Journal of Neurosurgery. Spine·Barry Ting Sheen KwehUNKNOWN AO Spine Subaxial Injury Classification System Validation Group, AndreyGrinMD Ahmed ShawkyAbdelgawaadMD Akbar JaleelZubairiF
Apr 24, 2021·Journal of Neurosurgery. Spine·Kevin HinesJames Harrop

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