Thippeswamy Pushpa B, Kumaran Sunitha P, Hegde Vinay, Viswamitra Sanjaya
Department of Radiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, India.
Indian J Radiol Imaging. 2017 Jul-Sep;27(3):263-267. doi: 10.4103/ijri.IJRI_211_16.
When surgical decompression of cervical spine is considered, multilevel cervical corpectomy with long strut grafts is the preferred treatment. This procedure is used in a variety of pathologies including degenerative disease, tumors, trauma and infection. Corpectomy with interbody grafting helps in adequate spinal canal and neural decompression compared to multilevel discectomy, which could be difficult as well as inadequate. Fibular/iliac strut grafts are used for reconstruction along with a stabilizing hardware in this procedure. So far, complete imaging spectrum of complications exclusive to strut graft has not been reported in the literature. This pictorial essay presents complications exclusive to the strut graft, utility of advanced imaging in diagnosis and a brief note on the clinical management of complications.
当考虑进行颈椎手术减压时，多节段颈椎椎体次全切除并使用长支撑植骨是首选的治疗方法。该手术适用于多种病理情况，包括退行性疾病、肿瘤、创伤和感染。与多节段椎间盘切除术相比，椎体次全切除并椎间植骨有助于充分减压椎管和神经，因为多节段椎间盘切除术可能既困难又不充分。在此手术中，使用腓骨/髂骨支撑植骨并结合稳定的内固定器械进行重建。到目前为止，文献中尚未报道过支撑植骨特有的完整并发症影像学谱。这篇影像文章介绍了支撑植骨特有的并发症、先进影像学在诊断中的作用以及并发症临床处理的简要说明。
