Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 1

Anterior Cervical Discectomy, Corpectomy with MRI Compatible Titanium Plate and Screw Fixation Under Neurophysiological Monitoring, Experience of 27 Years

PK Upadhyay1*, G Tiwary2, K upadhyay3 and Kritika U4

1Head of Neurosurgery Department, Institute of Human Behavior and Allied Sciences Hospital, Delhi, India
2Director Laboratory Sciences, India
3MBBS Fellow, JSSMC and MAMC, India
4MAMC, India

*Corresponding Author: PK Upadhyay, Head of Neurosurgery Department, Institute of Human Behavior and Allied Sciences Hospital, Delhi, India.

Received: December 08, 2021; Published: December 29, 2021

Abstract

115 cases operated by the senior author in 27 years utilizing neurophysiological monitoring, using anterior cervical discectomy and corpectomy and immediate fixation using MRI compatible titanium screw and plate under Neurophysiological monitoring of somato sensory evoked potential and motor evoked potential, which helped immensely in preventing damage to neural structure and improving results, both for spinal surgeon and the patients. The results evaluated and review of literature done.

Keywords: Anterior Cervical Discectomy; Corpectomy; MRI Compatible; Titanium Plate and Screw; Neurophysiological Monitoring

References

  1. Alexander ARV., et al. “Anterior plate instrumentation for disorders of cervical spine”. Clinical Orthopaedics and Related Research 335 (1997): 112-121.
  2. Smith GW and Robinson RA. “The treatment of cervical spine disorder by removing of intervertebral disc and anterior body fusion”. Journal of Bone and Joint Surgery 40 (1958): 607-624.
  3. Cloward RB. “The anterior approach for the removal of ruptured cervical disc”. Journal of Neurosurgery (1958): 15602-15617.
  4. Michael JR., et al. “The use anterior casper plate fixation in acute cervical spine injury”. Surgical Neurology 136 (1991): 181-189.
  5. Daniel Ripa., et al. “Series of 92 truamatic cervical spine injuries stabilized with anterior ASIF plate fusion technique”. Spine3 (1991) S 46-55.
  6. Sala F., et al. “Intraoperative neurophysiology in tethered cord surgery: techniques and results”. Child's Nervous System 29 (2013): 1611-1624.
  7. Gavaret M., et al. “Intraoperative neurophysiologic monitoring in spine surgery. Developments and state of the art in France in 2011”. Orthopaedics and Traumatology: Surgery and Research 99 (2013): S319-S327
  8. Nuwer MR., et al. “Somatosensory evoked potential spinal cord monitoring reduces neurologic deficits after scoliosis surgery: results of a large multicenter survey”. Electroencephalography and Clinical Neurophysiology 96 (1995): 6-11.
  9. Nuwer MR. “Spinal cord monitoring”. Muscle and Nerve 22 (1999): 1620-1630.
  10. Macdonald DB., et al. “Intraoperative motor evoked potential monitoring - a position statement by the American Society of Neurophysiological Monitoring”. Clinical Neurophysiology 124 (2013): 2291-2316.
  11. Kothbauer KF. “Intraoperative neurophysiologic monitoring for intramedullary spinal-cord tumor surgery”. Neurophysiologie Clinique 37 (2007): 407-414.
  12. Owen JH., et al. “Sensitivity and specificity of somatosensory and neurogenic-motor evoked potentials in animals and humans”. Spine (Phila Pa 1976) 13 (1988): 1111-1118.
  13. Morota N., et al. “The role of motor evoked potentials during surgery for intramedullary spinal cord tumors”. Neurosurgery (1997).
  14. Kothbauer KF., et al. “Motor-evoked potential monitoring for intramedullary spinal cord tumor surgery: correlation of clinical and neurophysiological data in a series of 100 consecutive procedures”. Neurosurgical Focus 4 (1998): e1.
  15. Ulkatan S., et al. “Monitoring of scoliosis surgery with epidurally recorded motor evoked potentials (D wave) revealed false results”. Clinical Neurophysiology 117 (2006): 2093-2101.
  16. Deiner S. “Highlights of anesthetic considerations for intraoperative neuromonitoring”. Seminars in Cardiothoracic and Vascular Anesthesia 14 (2010): 51-53.
  17. Lall RR., et al. “Intraoperative neurophysiological monitoring in spine surgery: indications, efficacy, and role of the preoperative checklist”. Neurosurgical Focus 33 (2012): E10.
  18. Gonzalez AA., et al. “Intraoperative neurophysiological monitoring during spine surgery: a review”. Neurosurgical Focus 27 (2009): E6.
  19. Calancie B., et al. “Intraoperative evoked EMG monitoring in an animal model. A new technique for evaluating pedicle screw placement”. Spine (Phila Pa 1976) 17 (1992): 1229-1235.
  20. Bosnjak R and Dolenc VV. “Electrical thresholds for biomechanical response in the ankle to direct stimulation of spinal roots L4, L5, and S1. Implications for intraoperative pedicle screw testing”. Spine (Phila Pa 1976) 25 (2000): 703-708.
  21. Tamaki T and Kubota S. “History of the development of intraoperative spinal cord monitoring”. European Spine Journal2 (2007): S140-S146.
  22. Deletis V and Sala F. “Intraoperative neurophysiological monitoring of the spinal cord during spinal cord and spine surgery: a review focus on the corticospinal tracts”. Clinical Neurophysiology 119 (2008): 248-264.
  23. Aebi M., et al. “Treatment of cervical spine injuries with anterior plating”. Spine 16s (1991): 38-s45.
  24. Bohler J Gaudermark T. “Anterior plate stabilization for fracture - dislocation of lower cervical spine”. The Journal of Trauma and Acute Care Surgery 20: (1980): 203-205.
  25. Brown JA., et al. “Cervical stabilization by plate and bone fisio”. Spine 13 (1988): 236-239.
  26. Casper W and Piltzen T. “Anterior cervical plating with single and multifusion in degerative disease over treatment or benefit”. Pesented at the tenth European congress of Neursurgery 27 (1995).
  27. Chochram G. “A primer or orthopaedic biomechanics”. New York:Churchill-Livingstone (1982): 190-198.
  28. De Oliveira. “Anterior plate fixation of traumatic lesion of lower cervical spine”. Spine 2 (1987): 324-329.
  29. Garvey TA., et al. “Anterioe decompression structural bone grafting and casper plate stabilization for unstable cervical spine fracture and/or dislocations”. Spine10 (1992): S431-5.
  30. Grubb MR., et al. “Biomechanical evaluation of anterior cervical spine stabilization in a porcine model”. Presented at the 20th annual cervical spine research society meeting research, Plam desert, calofornia December 3 (1992).
  31. JohnstonFG and Crockard HA. “One stage internal fixation and anterior fusion in complex cervical spinal disorders”. Journal of Neurosurgery 82 (1995): 234-238.
  32. Jonssson H., et al. “Locking screw -plate fixation of cervical spine fractures with and withoutancilliary posterior plating”. Archives of Orthopaedic and Trauma Surgery 111 (1991): 1-12.
  33. Lesoin F., et al. “Jomin mthe anterior approach and plates in lower cervical posttraumatic lesion”. Surgical Neurology International 21 (1984): 581-587.
  34. Lowery GL., et al. “Anterior cervical interbody fusion locked versus non locked plating systems”. Tenth annual north American spine society meeting, Washigton, D.D oct 18 (1995).
  35. Randle MJ., et al. “The use of anterior Casper plate fixationin acute cervical spine injury”. Surgical Neurology International 36 (1991): 181-189.
  36. Razak NH., et al. “A-3 years experience with Morscher titanium plates for cervical spine trauma and degerative diseases”. Presented at 63 annual meeting of American association.
  37. Ripa dr., et al. “Series of 92 traumatic cervical spine injuries stablized with anterior Asif plate fusion techniques”. Spine 16L (1991): s46-s55.
  38. Schultz K., et al. “Kinematicsof the cervical spine following discectomy and stabilization Spine”. 14 (1989): 116-121.
  39. Seifert V., et al. “Spondylectomy, microsurgical decompression and osteosynthesis in the treatment of complex disorders of the cervical spine”. Acta Neurochirurgica (Wein) 124 (1993): 104-113.
  40. Shapiro S. “Bankedfibula and the locking anterior cervical plate in anterior cervical fusionfollowing cervical discectomy”. Journal of Neurosurgery 84 (1996): 161-165.
  41. Tippets RH. “Anterior cervical fusion with casper instrument system”. Neurosurgery 22 (1988): 1008-1013.
  42. Tominga T., et al. “Anterior cervical fixation with the titanium lockingscrew plate: a prilimanary report”. Surgical Neurology International 42 (1994): 408-413.
  43. Zdeblick TA., et al. “Anterior cervical discectomy,fusion and plating”. Acomparative Animal Study Pine 14 (1993): 1974-1983.

Citation

Citation: PK Upadhyay., et al. “Anterior Cervical Discectomy, Corpectomy with MRI Compatible Titanium Plate and Screw Fixation Under Neurophysiological Monitoring, Experience of 27 Years”.Acta Scientific Medical Sciences 6.1 (2022): 320-326.

Copyright

Copyright: © 2022 PK Upadhyay., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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