Abstract
We had three patients (45-year-old male, 64-year-old female and 42-year-old female) on long-term hemodialysis who had cervical lesions suggestive of destructive spondylarthropathy and treated surgically. When they received surgical treatment, they had been on dialysis for an average of 17.3 years (10, 19 and 23 years). The mean preoperative Japanese orthopaedic association score for cervical myelopathy (JOA score) was 7.3 points (11, 4 and 7 points). The clinical symptoms were improved in all cases, and the mean postoperative JOA score was 11.7 points (14, 8 and 13 points) following 15, 7 and 4 months after the operations.
In one patient who had severe destructive change of the vertebral bodies combined with kyphotic deformity, subtotal spondylectomy of two vertebrae and anterior fixation with autobone graft and spinal plate were performed. Although halo vest jacket was applied for three months after the operation, loosening of screws and delayed union of the bone graft were occurred.
In other patients who had mild destructive changes, interbody fusion with autobone graft and spinal plate were performed. Solid union was obtained in these two cases.
