Risk factors for early reconstruction failure of multilevel cervical corpectomy with dynamic plate fixation.
METHODS
Retrospective case series.


OBJECTIVE
To investigate risk factors for early reconstruction failure of multilevel cervical corpectomy with dynamic plate fixation.


BACKGROUND
For anterior cervical decompression and fusion, reinforcement by plate fixation was performed to decrease early reconstruction failure and to increase the fusion rate. However, a relatively high complication rate such as graft dislodgement, has been reported in patients undergoing multilevel corpectomy and reconstruction. Risk factors associated with early reconstruction failure have not been explicitly described.


METHODS
In 30 instrumented multilevel corpectomy and reconstruction, medical records and radiographic studies were reviewed to investigate risk factors with regard to sagittal alignment of the cervical spine, graft subsidence, screws used in fixation, endplate preparation, and intermediate screw for fibular graft.


RESULTS
Reconstruction failures included anterior slipping at the bottom of the graft in 2 cases, fracture of the C7 vertebral body in 2 cases, and pullout of a screw in 2 cases. Four patients were found to have nonunion of the graft at the final follow-up, but none had experienced early reconstruction failure.On radiologic measurement, the fusion area lordotic angle after surgery in the patients with reconstruction failures was significantly larger than that of the patients with no complications. The postoperative C2-C7 lordotic angles of the patients with reconstruction failure were also larger, but this trend was not statistically significant. No other factor, such as age and gender, type of screw used, intermediate screw or preservation of the endplates was related to reconstruction failures in this study.


CONCLUSIONS
Postoperative cervical hyperlordosis may adversely affect graft stability in the early postoperative period of the surgery of corpectomy and reconstruction with dynamic plate fixation.
Okawa
Atsushi
A
Department of Orthopedic and Spinal Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan. okawa.orth@tmd.ac.jp
Sakai
Kenichiro
K
Hirai
Takashi
T
Kato
Tsuyoshi
T
Tomizawa
Shoji
S
Enomoto
Mitsuhiro
M
Kawabata
Shigenori
S
Takahashi
Makoto
M
Shinomiya
Kenichi
K
D000328:Adult; D000368:Aged; D001860:Bone Plates; D002574:Cervical Vertebrae / Q000601:surgery*; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*