{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T23:00:40Z","timestamp":1765666840019},"reference-count":49,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> The authors undertook a retrospective single-institution review of 261 patients who underwent anterior cervical corpectomy, reconstruction with allograft fibula, and placement of an anterior plating system for the treatment of cervical spinal stenosis to assess fusion rates and procedure-related complications.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Between October 1989 and June 1995, 261 patients with cervical stenosis underwent cervical corpectomy, allograft fibular bone fusion, and placement of instrumentation for spondylosis (197 patients), postlaminectomy kyphosis (27 patients), acute fracture (25 patients), or ossification of the posterior longitudinal ligament (12 patients). All patients suffered neck pain and cervical myelopathy or radiculopathy refractory to medical management. Of the procedures, 133 involved a single vertebral level (two disc levels and one vertebral body), 96 involved two levels, 31 involved three levels, and a single patient underwent a four-level procedure. Clinical and radiographic outcomes were assessed postoperatively and at 6-month intervals. The mean follow-up period was 25.7 months (range 24\u201347 months).<\/jats:p>\n<jats:p content-type=\"fine-print\">Successful fusion was documented in 226 patients (86.6%). A stable, fibrous union developed in 33 asymptomatic patients (12.6%), whereas an unstable pseudarthrosis in two patients (0.8%) required reoperation. There were no cases of infection, spinal fluid leakage, or postoperative hematoma. Complications included transient unilateral upper-extremity weakness (two patients), dysphagia (35 transient and seven permanent), and hoarseness (35 transient and two permanent). In 14 patients (5.4%) radiological studies demonstrated evidence of hardware failure.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> Cervical corpectomy with fibular allograft reconstruction and anterior plating is an effective means of achieving spinal decompression and stabilization in cases of anterior cervical disease. Symptomatic improvement was achieved in 99.2% of patients. In their series the authors found a fusion rate of 86.6% and rates of permanent hoarseness of 3.4%, dysphagia of 0.7%, and an instrumentation failure rate of 5.4%.<\/jats:p>","DOI":"10.3171\/spi.2002.96.1.0010","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:56:22Z","timestamp":1241711782000},"page":"10-16","source":"Crossref","is-referenced-by-count":38,"title":["Cervical spinal stenosis: outcome after anterior corpectomy, allograft reconstruction, and instrumentation"],"prefix":"10.3171","volume":"96","author":[{"given":"Matthew T.","family":"Mayr","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian R.","family":"Subach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher H.","family":"Comey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald E.","family":"Rodts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regis W.","family":"Haid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"565","DOI":"10.2106\/00004623-196042040-00001","article-title":"Stabilization of the cervical spine by anterior fusion.","volume":"42","author":"Bailey","year":"1960"},{"key":"b2","series-title":"Spine","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1097\/00007632-198903000-00002","article-title":"Comparison of halo complications in adults and children.","volume":"14","author":"Baum","year":"1989"},{"key":"b3","series-title":"Clin Orthop","first-page":"149","article-title":"Cervical spondylotic myelopathy and myeloradiculopathy. Anterior decompression and stabilization with autogenous fibula strut graft.","volume":"221","author":"Bernard","year":"1987"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"206","DOI":"10.3171\/jns.1996.85.2.0206","article-title":"Anterior cervical interbody fusion using autogeneic and allogeneic bone graft substrate: a prospective comparative analysis.","volume":"85","author":"Bishop","year":"1996"},{"key":"b5","series-title":"Spine","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1097\/00007632-198405000-00005","article-title":"Multiple subtotal somatectomy. Technique and evaluation of a series of 39 cases.","volume":"9","author":"Boni","year":"1984"},{"key":"b6","series-title":"Spine","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1097\/00007632-198803000-00003","article-title":"Cervical stabilization by plate and bone fusion.","volume":"13","author":"Brown","year":"1988"},{"key":"b7","series-title":"Clin Orthop","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1097\/00003086-199603000-00010","article-title":"The use of bone allografts in the spine.","volume":"324","author":"Buttermann","year":"1996"},{"key":"b8","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1227\/00006123-198910000-00001","article-title":"Anterior cervical fusion and Caspar plate stabilization for cervical trauma.","volume":"25","author":"Caspar","year":"1989"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.3171\/jns.1996.84.6.1039","article-title":"Biomechanical evaluation of Caspar and Cervical Spine Locking Plate systems in a cadaveric model.","volume":"84","author":"Clausen","year":"1996"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"602","DOI":"10.3171\/jns.1958.15.6.0602","article-title":"The anterior approach for removal of ruptured cervical disks.","volume":"15","author":"Cloward","year":"1958"},{"key":"b11","series-title":"J Spinal Disord","first-page":"202","article-title":"Anterior cervical fusion: outcome analysis of patients fused with and without anterior cervical plates.","volume":"9","author":"Connolly","year":"1996"},{"key":"b12","series-title":"Surg Gynecol Obstet","first-page":"755","article-title":"Anterior interbody fusion for severe cervical disc degeneration.","volume":"134","author":"DePalma","year":"1972"},{"key":"b13","series-title":"Orthopedics","doi-asserted-by":"publisher","first-page":"141","DOI":"10.3928\/0147-7447-19950201-12","article-title":"Osteosynthesis of the cervical spine with an anterior plate.","volume":"18","author":"Ebraheim","year":"1995"},{"key":"b14","series-title":"J Neurosurg","first-page":"35","article-title":"Cervical corpectomy: report of 185 cases and review of the literature.","volume":"90","author":"Eleraky","year":"1999"},{"key":"b15","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"941","DOI":"10.2106\/00004623-199807000-00002","article-title":"Anterior cervical decompression and arthrodesis for the treatment of cervical spondylotic myelopathy. Two to seventeen-year follow-up.","volume":"80","author":"Emery","year":"1998"},{"key":"b16","series-title":"Spine","doi-asserted-by":"publisher","first-page":"S561","DOI":"10.1097\/00007632-199110001-00022","article-title":"Fusion rates in multilevel cervical spondylosis comparing allograft fibula with autograft fibula in 126 patients.","volume":"16","author":"Fernyhough","year":"1991"},{"key":"b17","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1097\/00006123-199808000-00044","article-title":"Anterior cervical corpectomy for cervical spondylotic myelopathy.","volume":"43","author":"Fessler","year":"1998"},{"key":"b18","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"320","DOI":"10.2106\/00004623-198668030-00002","article-title":"Complications in the use of the halo fixation device.","volume":"68","author":"Garfin","year":"1986"},{"key":"b19","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"762","DOI":"10.3171\/jns.1986.65.6.0762","article-title":"Complications associated with the halo-vest. A review of 245 cases.","volume":"65","author":"Glaser","year":"1986"},{"key":"b20","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1227\/00006123-198912000-00003","article-title":"Anterior cervical fusion and osteosynthetic stabilization according to Caspar: a prospective study of 41 patients with fractures and\/or dislocations of the cervical spine.","volume":"25","author":"Goffin","year":"1989"},{"key":"b21","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1227\/00006123-198701000-00007","article-title":"Brain abscess complicating the use of a halo orthosis.","volume":"20","author":"Goodman","year":"1987"},{"key":"b22","series-title":"J Spinal Disord","first-page":"429","article-title":"Biomechanical comparison of anterior instrumentation for the cervical spine.","volume":"8","author":"Griffith","year":"1995"},{"key":"b23","series-title":"Spine","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1097\/00007632-199205000-00015","article-title":"The use of freeze-dried fibular allograft in anterior cervical fusion.","volume":"17","author":"Grossman","year":"1992"},{"key":"b24","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1097\/00006123-199707000-00025","article-title":"Smoking and the human vertebral column: a review of the impact of cigarette use on vertebral bone metabolism and spinal fusion.","volume":"41","author":"Hadley","year":"1997"},{"key":"b25","series-title":"Spine","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1097\/00007632-198605000-00003","article-title":"Subtotal vertebrectomy and spinal fusion for cervical spondylotic myelopathy.","volume":"11","author":"Hanai","year":"1986"},{"key":"b26","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"963","DOI":"10.3171\/jns.1994.80.6.0963","article-title":"Cervical corpectomy and plate fixation for postlaminectomy kyphosis.","volume":"80","author":"Herman","year":"1994"},{"key":"b27","series-title":"Can J Surg","first-page":"85","article-title":"Anterior cervical corpectomy for the treatment of complex cervical lesions.","volume":"36","author":"Hu","year":"1993"},{"key":"b28","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"234","DOI":"10.3171\/jns.1995.82.2.0234","article-title":"One-stage internal fixation and anterior fusion in complex cervical spinal disorders.","volume":"82","author":"Johnston","year":"1995"},{"key":"b29","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1227\/00006123-198906000-00012","article-title":"Anterior cervical vertebrectomy and interbody fusion for multi-level spondylosis and ossification of the posterior longitudinal ligament.","volume":"24","author":"Kojima","year":"1989"},{"key":"b30","series-title":"Clin Orthop","first-page":"46","article-title":"Indications for the use of the halo immobilization.","volume":"154","author":"Kostuik","year":"1981"},{"key":"b31","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"990","DOI":"10.3171\/jns.1997.86.6.0990","article-title":"Multilevel anterior cervical corpectomy and fibular allograft fusion for cervical myelopathy.","volume":"86","author":"MacDonald","year":"1997"},{"key":"b32","series-title":"Clin Orthop","first-page":"68","article-title":"Bone allografts in spinal surgery.","volume":"154","author":"Malinin","year":"1981"},{"key":"b33","series-title":"Orthop Clin North Am","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/S0030-5898(20)32180-5","article-title":"The halo in spinal abnormalities: practical factors and avoidance of complications.","volume":"3","author":"Perry","year":"1972"},{"key":"b34","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.1097\/00007632-199311000-00003","article-title":"The effect of torque pressure on halo pin complication rates. A randomized prospective study.","volume":"18","author":"Rizzolo","year":"1993"},{"key":"b35","series-title":"Bull Johns Hopkins Hosp","first-page":"223","article-title":"Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome.","volume":"96","author":"Robinson","year":"1955"},{"key":"b36","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1227\/00006123-199509000-00006","article-title":"On the pathogenesis of the radiculopathy complicating multilevel corpectomy.","volume":"37","author":"Saunders","year":"1995"},{"key":"b37","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"163","DOI":"10.3171\/jns.1991.74.2.0163","article-title":"Central corpectomy for cervical spondylotic myelopathy: a consecutive series with long-term follow-up evaluation.","volume":"74","author":"Saunders","year":"1991"},{"key":"b38","series-title":"J Neurosurg","first-page":"214","article-title":"Single-stage anterior-posterior decompression and stabilization for complex cervical spine disorders.","volume":"93","author":"Schultz","year":"2000"},{"key":"b39","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1227\/00006123-199110000-00002","article-title":"Multisegmental cervical spondylosis: treatment by spondylectomy, microsurgical decompression, and osteosynthesis.","volume":"29","author":"Seifert","year":"1991"},{"key":"b40","series-title":"J Bone Joint Surg (Am)","first-page":"607","article-title":"The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion.","volume":"40","author":"Smith","year":"1957"},{"key":"b41","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"631","DOI":"10.2106\/00004623-195739030-00017","article-title":"Surgical approaches to the vertebral bodies in cervical and lumbar regions.","volume":"39","author":"Southwick","year":"1957"},{"key":"b42","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1227\/00006123-198806010-00006","article-title":"Anterior cervical fusion with the Caspar instrumentation system.","volume":"22","author":"Tippets","year":"1988"},{"key":"b43","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1016\/0090-3019(94)90347-6","article-title":"Anterior cervical fixation with the titanium locking screw-plate: a preliminary report.","volume":"42","author":"Tominaga","year":"1994"},{"key":"b44","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"635","DOI":"10.2106\/00004623-197355030-00023","article-title":"Brain abscess complicating the use of halo traction.","volume":"55","author":"Victor","year":"1973"},{"key":"b45","series-title":"Instr Course Lect","first-page":"223","article-title":"Complications of anterior cervical fusion.","volume":"27","author":"Whitecloud","year":"1976"},{"key":"b46","series-title":"Spine","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1097\/00007632-197603000-00005","article-title":"Fibular strut graft in reconstructive surgery of the cervical spine.","volume":"1","author":"Whitecloud","year":"1976"},{"key":"b47","series-title":"Spine","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1097\/00007632-198510000-00004","article-title":"Choice of surgical treatment for multisegmental cervical spondylotic myelopathy.","volume":"10","author":"Yonenobu","year":"1985"},{"key":"b48","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"170","DOI":"10.2106\/00004623-198971020-00002","article-title":"Cervical kyphosis and myelopathy. Treatment by anterior corpectomy and strut-grafting.","volume":"71","author":"Zdeblick","year":"1989"},{"key":"b49","series-title":"Spine","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1097\/00007632-199107000-00006","article-title":"The use of freeze-dried allograft bone for anterior cervical fusions.","volume":"16","author":"Zdeblick","year":"1991"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/96\/1\/article-p10.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/96\/1\/article-p10.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/96\/1\/article-p10.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T20:55:35Z","timestamp":1681592135000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/96\/1\/article-p10.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":49,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/spi.2002.96.1.0010","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2002,1]]}}}