Single Level Anterior Cervical Corpectomy Without Posterior Stabilization

Study Overview
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Brief Summary
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evaluate and assess short term outcome of treating degenerative and non-degenerative cervical conditions with single level anterior cervical corpectomy without posterior fusion

Detailed Description
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Cervical corpectomy is a procedure that removes damaged vertebrae and intervertebral disc that are compressing the spinal cord and spinal nerves. Various graft materials or spacers are used to maintain height and stability followed by anterior plating. It has an important role in the management of various degenerative, traumatic, neoplastic and infectious disorders of cervical spine. While ACCF effectively decompresses the spinal cord, it is debated whether it can provide enough cervical stability, or an additional posterior fixation (PF) is required. Studies show that in multi-level anterior cervical corpectomy, additional posterior fixation provides extra support to improve cervical stability whether it is performed initially, or later as a supplementary surgery if material failure or instability occurred, On the other hand, in single level corpectomy, it remains controversial as single level ACCF showed sufficient stability in the majority of cases without additional support but pathologies affecting bone quality like infections and neoplasms seemed to be risk factor for construct failure and instability so additional PF was required .

Official Title
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Single Level Anterior Cervical Corpectomy Without Posterior Stabilization

Conditions
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Cervical Spine Fusion

Intervention / Treatment
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* Procedure: anterior cervical corpectomy and fusion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - All patients with degenerative and non-degenerative cervical conditions (trauma, tumors and infections) treated with single level anterior cervical corpectomy without posterior fusion Exclusion Criteria: Patients who refuse to participate in the study Patients who are not available for 6 months follow up
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Anterior cervical corpectomy and fusion<br>removal of damaged vertebrae and intervertebral disc that are compressing the spinal cord and spinal nerves. Various graft materials or spacers are used to maintain height and stability followed by anterior plating | Procedure: anterior cervical corpectomy and fusion<br>* removal of damaged vertebrae and intervertebral disc that are compressing the spinal cord and spinal nerves<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Radiological parameter | Bony fusion with no metal failure presence of trabecular bridging and/or absence of motion | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physiological parameter | Percentage of improvement in NDI following surgical treatment during the follow up visits | baseline |