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Ultrasonic bone scalpel: utility in cervical corpectomy. A technical note

  • Bharat R. Dave
  • Devanand Degulmadi
  • Shreekant Dahibhate
  • Ajay Krishnan
  • Denish Patel
Ideas and Technical Innovations

Abstract

Purpose

Anterior cervical corpectomy and fusion (ACCF) is a technically challenging surgery. Use of conventional instruments like high-speed burr and kerrison rongeurs is associated with high complication rates such as increased blood loss and incidental durotomy. Use of ultrasonic bone scalpel (UBS) in cervical corpectomy helps to minimize such adverse events.

Methods

We performed a retrospective study based on the data of 101 consecutive patients who underwent cervical corpectomies with UBS for different cervical spine pathologies from December 2014 to December 2016. Total duration of surgery, time taken for corpectomy, estimated blood loss, and incidental durotomies were noted.

Results

Total surgical time was 30–80 min (59.36 ± 13.21 min) for single-level ACCF and 60–120 min (92.74 ± 21.04 min) for double-level ACCF. Time taken for single-level corpectomy was 2 min 11  ± 10 s and 3 min 41  ± 20 s for double-level corpectomy. Estimated blood loss ranged from 20–150 ml (52.07 ± 29.86 ml) in single level and 40–200 ml (73.22 ± 41.64 ml) in double level. Four (3.96%) inadvertent dural tears were noted, two during single-level corpectomy and other two during double-level corpectomy.

Conclusions

Use of UBS is likely to provide a safe, rapid, and effective surgery when compared to conventional rongeurs and high-speed burr. The advantages such as lower blood loss and lower intra-operative incidental dural tears were noted with the use of UBS.

Graphical abstract

Keywords

Cervical corpectomy Ultrasonic bone scalpel Complications 

Notes

Compliance with ethical standards

Conflict of interest

All the authors declare that they have no conflicts of interest.

Supplementary material

586_2018_5536_MOESM1_ESM.pptx (202 kb)
Supplementary material 1 (PPTX 202 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Stavya Spine Hospital and Research Institute Pvt. LtdAhmedabadIndia

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