Anterior cervical corpectomy and fusion-derived adjacent segment disease managed via channel-repairing anterior endoscopic transcorporeal cervical discectomy: a case report

• Published in: BMC musculoskeletal disorders Vol. 25; no. 1; pp. 598 - 6
• Main Authors: Qin, Jianpu, Qian, Hu, Xin, Zhijun, Liu, Guangyi, Ao, Jun, Liao, Wenbo
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 29.07.2024; BioMed Central; BMC
• Subjects: Adjacent segment disease; Adult; Anterior cervical corpectomy and fusion; Care and treatment; Case Report; Case reports; Causes of; Cervical endoscopy; Cervical Vertebrae - diagnostic imaging; Cervical Vertebrae - surgery; Channel repair; Clinical trials; Decompression; Discectomy; Diskectomy - methods; Diskectomy, Percutaneous - methods; Endoscopy; Endoscopy - methods; Esophagus; Humans; Magnetic resonance imaging; Male; Medical imaging; Methods; Pain; Patient outcomes; Radiation; Range of motion; Recovery (Medical); Spinal cord; Spinal diseases; Spinal Fusion - adverse effects; Spinal Fusion - methods; Surgery; Titanium; Treatment Outcome; Vertebrae; China; Anterior cervical corpectomy and fusion; Channel repair; Adjacent segment disease; Cervical endoscopy
• ISSN: 1471-2474; 1471-2474
• DOI: 10.1186/s12891-024-07721-6

Management of anterior cervical corpectomy and fusion (ACCF)-derived adjacent segment disease (ASD) represented a challenge facing the surgeons. A 41-year man diagnosed as C3-4 level ASD derived from C5-level ACCF surgery 13 years ago was admitted to the hospital for numbness and pain in the right shoulder and upper limb. Percutaneous full-endoscopic anterior transcorporeal cervical discectomy (PEATCD) was performed, and pre- and postoperative clinical and imaging data were collected. The operation was completed within 70 min, and no clinical or radiological complication was reported. The visual analog scale (VAS) score decreased from preoperative 5 points to postoperative 1 point. Numbness was relieved postoperatively and disappeared completely at postoperative 3 months. Imaging data indicated sufficient spinal cord decompression, good channel repairing and cervical alignment. Channel-repairing PEATCD was successfully performed to treat ACCF-derived ASD, nevertheless, the long-term efficacy remained tracing and further clinical trials were needed to validate its efficacy.