title: Two level cervical corpectomy with iliac crest fusion and rigid plate fixation: a retrospective study with a three-year follow-up.
abstract: OBJECTIVE
  There is no clear knowlegde in the literature about two-level vertebral     corpectomy using the iliac bone crest for fusion and rigid plate fixation. We     present our experience with two-vertebral level cervical corpectomy and     reconstruction.
  
  
  METHODS
  Each patient was graded according to the     Nuricks Grade (1972) and the modified Japanese Orthopaedic Association (mJOA)     Scale (1991), and the recovery rates were calculated. All patients had two-level     vertabral corpectomy. Anterior iliac crest bone graft with titanium plate     fixation was applied to all patients.
  
  
  RESULTS
  Postoperatively the mJOA score     raised up to 15.5. Mean recovery rate was 69%. Average 25.2 degrees correction     of kyphosis was achieved in 21 patients. Among the postoperative complications,     three cases (12%) had temporary C5 nerve palsy that was resolved in three weeks,     two cases had (8 %) graft malposition and infection, and three cases (%12) had     temporary donor site pain.
  
  
  CONCLUSIONS
  Excellent fusion rates can be achieved     following two-level corpectomy with iliac bone graft repacement. This techique     is easy, cost effective and safe. If the bone graft is harvested from the iliac     crest by standart approach and between anatomical landmarks, most patients do     not experience persistent pain at the donor site.
authors.affiliation: İstanbul Educational and Research Hospital, Department of Neurosurgery, Istanbul, Turkey. kadirkotil@gmail.com
authors.forename: Kadir
authors.initials: K
authors.lastname: Kotil
authors.forename: Rabia
authors.initials: R
authors.lastname: Tari
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates / Q000592:standards / Q000706:statistics & numerical data; D016025:Bone Transplantation / Q000009:adverse effects / Q000379:methods*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000033:anatomy & histology / Q000637:transplantation*; D055959:Intervertebral Disc Degeneration / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control; D019919:Prosthesis Implantation / Q000379:methods*; D011843:Radiculopathy / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D055009:Spondylosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control; D016896:Treatment Outcome