title: Delayed iliac crest autograft fractures following plated single-level anterior cervical corpectomy with fusion.
abstract: Recurrent cervical pain following single-level plated anterior corpectomy with fusion signaled delayed mid-iliac crest autograft fractures in four of 56 patients. Single-level anterior corpectomy with fusion used 15 fixed plates (Sofamor Danek) and 41 dynamic ABC plates (Aesculap). Patients in the fixed-plate and dynamic-plate groups averaged 46 and 48 years of age, respectively. Fusion was confirmed on both dynamic radiograph and two-dimensional CT studies an average of 4.5 months postoperatively. Two (13%) fixed-plated patients developed mid-iliac crest strut fractures 1 and 2 years postoperatively, whereas two (5%) dynamic-plated patients showed similar fractures 6 and 9 months following surgery. Immobilization in CTO orthoses resulted in fusion in one case, whereas three patients required secondary posterior wiring/fusion. Recurrent pain signaled delayed autograft strut fractures in four of 56 patients undergoing plated single-level anterior corpectomy with fusion.
authors.affiliation: Department of Neurologic Surgery, Albert Einstein College of Medicine, Bronx, New York, USA.
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Epstein
authors.forename: Rob D
authors.initials: RD
authors.lastname: Dickerman
mesh_terms: D000328:Adult; D001860:Bone Plates; D016025:Bone Transplantation; D002574:Cervical Vertebrae / Q000601:surgery*; D005260:Female; D015775:Fractures, Stress / Q000150:complications / Q000209:etiology*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000209:etiology*; D012008:Recurrence; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous