{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:02:10Z","timestamp":1771272130854,"version":"3.50.1"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,7]]},"abstract":"\n Study Design:<\/jats:title>\n A retrospective comparative study.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n The purpose of this study was to compare the stability and outcomes of a hybrid technique with those of a 3-vertebra corpectomy in the management of 4-segment cervical myelopathy.<\/jats:p>\n <\/jats:sec>\n \n Summary of Background Data:<\/jats:title>\n Patients with primarily ventral disease and loss of cervical lordosis are considered good candidates for anterior surgery. Cervical corpectomy is commonly performed in patients with multilevel cervical myelopathy. Corpectomies including >3 vertebraes entail an extremely high risk of reconstruction failure. To avoid the need to perform a 3-vertebra corpectomy, we use a hybrid decompression and fixation technique. This hybrid technique is a technique to obtain optimum decompression and fixation in patients with multilevel cervical myelopathy.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A total of 81 patients with multilevel cervical myelopathy who underwent 4-segment cervical fixation with a minimum 2-year follow-up were included.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The hybrid technique involved combining a plated 2-vertebra corpectomy and single-level discectomy with stand-alone cage fixation. This technique was performed in 39 patients, and the plated 3-vertebra corpectomy was performed in 42 patients. Nine patients (21%) who underwent the plated 3-vertebra corpectomy were treated with halo immobilization, but no patient in the hybrid group required this treatment (P<\/jats:italic>=0.002). There were fewer instances of reconstruction failure in the hybrid group than in the 3-vertebra corpectomy group (0% vs. 10%, respectively; P<\/jats:italic>=0.048) and fewer instances of C5 palsy (3% vs. 17%, respectively; P<\/jats:italic> <0.0001). The incidence of postoperative C5 palsy was 25% for C3\u2013C5 corpectomy, 19% for C4\u2013C6 corpectomy, and 11% for C4\u2013C5 corpectomy+C6\u2013C7 discectomy.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The hybrid technique has the following advantages over 3-vertebra corpectomy for 4-segment cervical fixation: a shorter graft bone and plate are required; the fixed segment has greater initial stability; postoperative external immobilization is simplified; and the risk of reconstruction failure and postoperative C5 palsy is reduced markedly.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bsd.0b013e31827ada34","type":"journal-article","created":{"date-parts":[[2012,11,17]],"date-time":"2012-11-17T08:18:14Z","timestamp":1353140294000},"page":"226-233","source":"Crossref","is-referenced-by-count":25,"title":["Hybrid Decompression and Fixation Technique Versus Plated 3-Vertebra Corpectomy for 4-Segment Cervical Myelopathy"],"prefix":"10.1097","volume":"29","author":[{"given":"Seiichi","family":"Odate","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitsuhiko","family":"Shikata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Kimura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsunemitsu","family":"Soeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230831","doi-asserted-by":"crossref","first-page":"607","DOI":"10.2106\/00004623-195840030-00009","article-title":"The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion","volume":"40-A","author":"Smith","year":"1958","journal-title":"J Bone Joint Surg 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Follow-Up"],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/bsd.0b013e31827ada34","relation":{},"ISSN":["2380-0186"],"issn-type":[{"value":"2380-0186","type":"print"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}