New Technical Tip for Anterior Cervical Plating : Make Hole First and Choose the Proper Plate Size Later

Park, Jeong Yoon; Zhang, Ho Yeol; Oh, Min Chul

doi:10.3340/jkns.2011.49.4.212

Cited by 6 publications

(5 citation statements)

References 21 publications

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“…1). A report outlining the potential applications of the Perfect-C was later published in 2011 [7]. In fact, the Perfect-C was developed before introduction of the Zero-P in Korea in 2013.…”

Section: Introductionmentioning

confidence: 99%

Comparison among perfect-C®, zero-P®, and plates with a cage in single-level cervical degenerative disc disease

Noh

Zhang

2018

BMC Musculoskelet Disord

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Background: We intended to analyze the efficacy of a new integrated cage and plate device called Perfect-C for anterior cervical discectomy and fusion (ACDF) to cure single-level cervical degenerative disc disease. Methods: We enrolled 148 patients who were subjected to single-level ACDF with one of the following three surgical devices: a Perfect-C implant (41 patients), a Zero-P implant (36 patients), or a titanium plate with a polyetheretherketone (PEEK) cage (71 patients). We conducted a retrospective study to compare the clinical and radiological results among the three groups.

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Section: Introductionmentioning

confidence: 99%

Comparison among perfect-C®, zero-P®, and plates with a cage in single-level cervical degenerative disc disease

Noh

Zhang

2018

BMC Musculoskelet Disord

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“…Anterior Cervical Discectomy and Fusion (ACDF) is considered the most used approach for the surgical management of cases with cervical disc prolapse or degenerated discs as it can efficiently achieve good results in the form of immediate stability, lordotic curve restoration, and fusion enhancement. Postoperative Cage subsidence is one of the crucial problems that occurs in these surgeries due aggressive uncontrolled curettage of vertebral endplates or due to excessive distraction because of improper selection of cage size and quality 10, 12 .…”

Section: Discussionmentioning

confidence: 99%

Efficacy of High Speed Drill for Safe and Adequate Neural Decompression in Anterior Cervical Discectomy and Fusion Surgeries.

Nagaty,

Ahmed,

Elshazly

et al. 2023

Ain Shams Medical Journal

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Background: Risks of inadequate decompression or neural injury during conventional Anterior Cervical Discectomy with Fusion (ACDF) surgery is not uncommon specially in cases with large posterior osteophytes or migrating fragments. Usage of High-speed Drill instead of Curettes and Kerrison Rongeurs may has a role for safe and adequate decompression.Aim: To assess the efficacy and safety of using high speed drill during ACDF surgery in comparison to conventional approach. Design: A retrospective comparative study.Methods: 60 Patients were divided into 2 groups; Group A, 30 patients who underwent Conventional ACDF surgery without using high speed drill, and group B, 30 patients underwent ACDF with the aid of high-speed drill.Results: Postoperative VAS of neck pain and Upper limbs in both groups had nearly the same end results with no statistically significant difference. In Group A: the mean Postoperative Odom's criteria was 1.47 ± 0.629 SD, while Group B showed nearly the same values. As regards the Japanese Orthopedic Association score (JOA score), Group B showed better results with mean JOA score value equals 15.7 ± 1.02 SD, which showed statistically significant difference between both groups with p-value 0.015. In addition, Group B showed slightly better results as regards operation time and intraoperative Blood loss but with no statistically significant difference. Conclusion:High speed drill is an efficient and safe tool that can be used in ACDF surgery for adequate neural decompression, with good clinical and radiological outcomes comparable to conventional methods, even with better neurological outcome and less operative time.

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“…A shorter PDD implies a longer plate, which may increase the overall stiffness of the cervical spine during movement and thus transmit excessive stress to the discs or facets of adjacent segments 40 . Future research should investigate the influences of PDD and different anterior cervical plating methods on spinal biomechanics 44 . However, as increased incidence of radiographically evident ASD would not necessarily result in an increase in the incidence of symptomatic disease 45 , the association between PDD and CASD remains uncertain 6,41,46 .…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Adjacent Segment Disease Following Anterior Cervical Discectomy and Fusion with Plate Fixation

Kwok¹,

Wong²,

Law³

et al. 2022

Journal of Bone and Joint Surgery

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Background:Adjacent segment disease (ASD) following anterior cervical discectomy and fusion with plating (ACDF-P) may yield a poor prognosis or reoperation. This review aimed to summarize risk factors for radiographic ASD (RASD) and clinical ASD (CASD) after ACDF-P.Methods:Six electronic databases were searched from inception to October 30, 2021. Four reviewers independently screened titles, abstracts, and full-text articles to identify relevant studies. Methodological quality of the included studies was evaluated. Meta-analyses for risk factors were conducted, if possible.Results:Sixteen cohort and 3 case-control studies (3,563 participants) were included. These studies showed low (n = 2), moderate (n = 9), and high (n = 8) risk of bias. One risk factor for RASD was pooled for 2 meta-analyses based on the follow-up period. Four different risk factors for CASD at ≥4 years were pooled for meta-analyses. Limited evidence showed that multi-level fusion, greater asymmetry in total or functional cross-sectional area of the cervical paraspinal muscle, and preoperative degeneration in a greater number of segments were associated with a higher RASD incidence <4 years after ACDF-P. In contrast, no significant risk factors were identified for CASD <4 years after ACDF-P. At ≥4 years after ACDF-P, limited evidence supported that both cephalad and caudal plate-to-disc distances of <5 mm were associated with a higher RASD incidence, and very limited evidence supported that developmental canal stenosis, preoperative RASD, unfused C5-C6 or C6-C7 adjacent segments, use of autogenous bone graft, and spondylosis-related ACDF-P were associated with a higher CASD incidence.Conclusions:Although several risk factors for RASD and CASD development after ACDF-P were identified, the supporting evidence was very limited to limited. Future prospective studies should extend the existing knowledge by more robustly identifying risk factors for RASD and CASD after ACDF-P to inform clinical practice.Level of Evidence:Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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New Technical Tip for Anterior Cervical Plating : Make Hole First and Choose the Proper Plate Size Later

Cited by 6 publications

References 21 publications

Comparison among perfect-C®, zero-P®, and plates with a cage in single-level cervical degenerative disc disease

Comparison among perfect-C®, zero-P®, and plates with a cage in single-level cervical degenerative disc disease

Efficacy of High Speed Drill for Safe and Adequate Neural Decompression in Anterior Cervical Discectomy and Fusion Surgeries.

Risk Factors for Adjacent Segment Disease Following Anterior Cervical Discectomy and Fusion with Plate Fixation

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