Original ContributionsComplications of Multilevel Cervical Corpectomies and Reconstruction With Titanium Cages and Anterior PlatingHee, Hwan T.*†‡; Majd, Mohammad E.*; Holt, Richard T.*†‡; Whitecloud, , Thomas S. III†; Pienkowski, David‡Author Information *Spine Surgery PSC, Louisville, Kentucky; †Tulane University Medical Center, New Orleans, Louisiana; and ‡University of Kentucky, Lexington, Kentucky, U.S.A. Received November 14, 2001; accepted October 17, 2002. This paper was selected for presentation at the Cervical Spine Research Society Annual Meeting, 2000 and the Eurospine Meeting in 2001. Address correspondence to Dr. Mohammad E. Majd, Spine Surgery PSC, 210 East Gray Street, Suite 601, Louisville, KY 40202, U.S.A. E-mail: [email protected] Journal of Spinal Disorders & Techniques: February 2003 - Volume 16 - Issue 1 - p 1-8 Buy Abstract The ideal surgical treatment of multilevel cervical spondylosis remains unclear. This study analyzed the complications in using titanium cages and plating to reconstruct multilevel cervical corpectomies. This was a retrospective analysis of 21 consecutive patients who had multilevel cervical corpectomies and reconstruction with titanium cages and anterior plating. Sixteen had 2-level, one had 2.5-level, three had 3-level, and one had 3.5-level corpectomies. All had reconstruction with titanium cages and anterior plating. Thirty-three percent of the patients developed complications. Radiographs revealed bony consolidation in 95% of patients. Reconstructing multilevel cervical corpectomies with titanium cages and plating is associated with complications. Advantages include rigid immobilization and the avoidance of iliac crest bone graft harvesting. Major complications are largely the result of failures of the cage and plate construct, especially in patients with osteopenic bone. Supplemental posterior stabilization may be considered for cases with spasticity or greater than 2-level corpectomies with profound osteoporosis. © 2003 Lippincott Williams & Wilkins, Inc.