Issue release date: 12.11.2024
2Gaziosmanpasa Training and Research Hospital, Neurosurgery Clinic, Istanbul, Turkey
3Koc University Hospital, Department of Neurosurgery, Istanbul, Turkey
4Basaksehir City Hospital, Neurosurgery Clinic, Istanbul, Turkey
5Istanbul Training and Research Hospital, Neurosurgery Clinic, Istanbul, Turkey
6Adatip Hospital, Neurosurgery Clinic, Istanbul, Turkey DOI : 10.5137/1019-5149.JTN.29896-20.2 AIM: To perform three-level decompression with a single-level corpectomy by modifying the fusion with anterior cervical corpectomy (ACC-F) method on a cadaver.
MATERIAL and METHODS: The anterior cervical region of four whole-head cadavers was dissected. The corpectomy was performed under a surgical microscope with a MT4-20+ ultrasonic bone dissector (UBD) tip. Superior and inferior decompression were conducted and viewed with a 70° neuroendoscope using two types (vertically and horizontally oriented) of specially designed 23 mm-long, 90°-angled UBD tips.
RESULTS: After neck dissection and the removal of the thyroid and cricoid cartilages, C5 corpectomy and adjacent-level discectomies were performed. Following discectomy and corpectomy, superior and inferior decompression were conducted with specially designed UBD tips and viewed with a 70° neuroendoscope. A three-level anterior cervical decompression was provided with a single-level corpectomy.
CONCLUSION: This study demonstrated that two more level decompression is possible with a single-level corpectomy in the cervical region using the new technique.
Keywords : Cervical, Spondylosis, Posterior longitudinal ligament ossification, Minimally invasive approach, Multi-level decompression