Cervical tuberculous
spondylodiscitis is a serious, hazardous disorder and to our knowledge, hardly any reports focused on the use of
titanium mesh cages in its treatment. The aim of this work is to evaluate the efficacy of using a
titanium mesh cage compared to iliac crest grafting regarding correction of the
deformity, fusion rate and to report the incidence of complications. A prospective, non-randomized multicentre study of 30 patients with cervical tuberculous
spondylodiscitis presenting with a neglected kyphotic
deformity. The average age was 44.5 years; 18 had neurological deficits. All patients had a single stage radical
debridement,
decompression, and instrumentation. The anterior column was reconstructed with a
titanium mesh cage in 16 patients (Group 1) and an autogenous iliac bone strut graft in 14 (Group 2). Both groups were followed for a minimum of 2 years. Group 1 showed a better sagittal profile and local
kyphosis was corrected from an average of 36° (10°-62°) to an average of -6° (+4° to -16°) compared to Group 2 corrected from an average of 30° (6°-48°) to an average of -1° (+2° to -13°). Group 1 patients showed a solid bony fusion without any recurrence of
infection while Group 2 showed a higher incidence of nonunion and of persistent donor site morbidity. The use of
titanium mesh cages effectively restores the sagittal profile while adding immediate stability. There is no donor site morbidity, recurrence, or persistence of
infection associated with their implantation.