SERIES OF 92 TRAUMATIC CERVICAL-SPINE INJURIES STABILIZED WITH ANTERIOR ASIF PLATE FUSION TECHNIQUE

被引：61

作者：

RIPA, DR ^{[1
]}

KOWALL, MG ^{[1
]}

MEYER, PR ^{[1
]}

RUSIN, JJ ^{[1
]}

机构：

[1] NORTHWESTERN UNIV, SCH MED, DEPT ORTHOPAED SURG, CHICAGO, IL 60611 USA

来源：

SPINE | 1991年 / 16卷 / 03期

关键词：

CERVICAL SPINE; FRACTURE; ANTERIOR FUSION; PLATE FIXATION; CLINICAL OUTCOMES;

D O I：

10.1097/00007632-199103001-00009

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This report details the results of 92 patients who underwent a single anterior procedure involving appropriate anterior decompression, tricortical inlay bone grafting, and application of anteriorly applied cervical vertebral plates and screws for the treatment of their acute lower cervical spine trauma. This allowed for needed anterior spinal decompression, correction of deformity, and excellent initial stability. A lightweight SOMI orthosis was used in the immediate postoperative period and continuing for 3 months on average. Follow-up detected a less than 2% incidence of significant complications related specifically to the use of anterior hardware and an excellent fusion rate (98.9%) occurring on average at 3.2 months postoperatively. Anterior decompression, bone grafting, and metallic osteosynthesis are thought to provide a valuable means of treating acute lower cervical spine trauma.

引用

页码：S46 / S55

页数：10

共 24 条

[1]

Bailey R.W., Badgley C.E., Stabilization of the cervical spine by anterior fusion, J Bone Joint Surg, 42 A, pp. 565-594, (1960)

[2]

Bohler J., Ganderhak T., Anterior plate stabilization for fracture-dislocations of lower cervical spine, J Trauma, 20, (1980)

[3]

Bohlman H.H., Ducker T.B., Lucas J.T., Spine and Spinal Cord Injuries, the Spine, pp. 729-756, (1982)

[4]

Bremer A.M., Nguyen T.Q., Internal metal plate fixation combined with anterior interbody fusion in cases of cervical spine injury, Neurosurgery, 12, pp. 649-653, (1983)

[5]

Bynum D., Ledbetter W.B., Boyd C.L., Ray D.R., Holding characteristics of fasteners in bone, Exp Mech, pp. 353-369, (1971)

[6]

Cabanela M.E., Ebersold M.J., Anterior plate stabilization for bursting tear¬drop fractures of the cervical spine, Spine, 13, pp. 888-891, (1988)

[7]

Caspar W., Die ventrale interkorporale Stabilisierung mit der HWS-Trapez- Osteosyntheseplatte. Indikation. Technik. Ergebnisse, Z Orthop, 122, (1984)

[8]

Cloward R.B., Treatment of acute fractures and fracture-dislocations of the cervical spine by vertebral-body fusion: A report of eleven cases, J Neurosurg, 18, pp. 201-209, (1961)

[9]

De Oliveira J., Anterior plate Fixation of traumatic lesions of the lower cervical spine, Spine, 12, pp. 324-329, (1987)

[10]

Gassman J., Seligson D., The anterior cervical plate, Spine, 8, pp. 700-707, (1983)

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