Revision Surgery for Symptomatic Adjacent Segment Disc Degeneration after Initial Anterior Cervical Fusion: Is ROI-C Better than Plate-Cage Construct?

Figure 1

54-year-old male patient who at 3 years after anterior cervical corpectomy and fusion (ACCF) surgery complained of weakness in both lower extremities and numbness of both hands for two months. Preoperative T1- (a), T2- (b), and fat suppression- (c) weighted MR images and CT scan (d) show a huge disc herniation adjacent to previous fused C5-7 segments. Preoperative esophageal barium meal examination (e) shows a slight anterior protrusion of the posterior wall of the esophagus caused by compression and adhesion of the anterior cervical plate. Anterior revision surgery using ROI-C device was successfully performed and postoperative T1- (f), T2- (g), and fat suppression- (h) weighted images show complete decompression of the C4-5 segment. Postoperative anteroposterior (i) and lateral (j) radiographs show favorable ROI-C device location.

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