The Management of One-Level Anterior Cervical Corpectomy with Fusion Using Atlantis Hybrid Plates: Preliminary Experience

To limit high pseudarthrosis rates encountered after cervical procedures for adjacent two-level disease, one-level anterior corpectomy with fusion was performed using the newly available Atlantis hybrid plates (fixed screws placed superiorly and variable screws placed inferiorly). Eight one-level anterior corpectomies with fusion were performed using iliac autografts and Atlantis hybrid plates. Nurick and Medical Outcomes Trust Short Form 36 scores were recorded before operation (Nurick grade 2.3) and 6 months after operation. Fusion status was followed an average of 9 months (range, 8 to 11 months). Fusion was confirmed an average of 6 months after operation in seven patients, when the mean Nurick grade was 0.2 and all had improved on the eight Medical Outcomes Trust Short Form 36 health scales. Atlantis plates contributed to successful fusion in seven of eight patients undergoing one-level anterior corpectomy with fusion using Atlantis hybrid plates.