The Anterior Cervical Plate

Gassman, Jeffrey; Seligson, David

doi:10.1097/00007632-198310000-00004

Cited by 66 publications

(15 citation statements)

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“…At the early phase, the complication rate of the unlocked plate was relatively high, especially loosening of the screws and the plates [1,3,5,6,12,15]. Locking plates are now being used to stabilise cervical spinal trauma, or used in combination with cages or meshes after discectemy or corpectemy in cervical degenerative diseases or tumours [4,9,14,17,18,20,21].…”

Section: Introductionmentioning

confidence: 99%

Anterior cervical locking plate-related complications; prevention and treatment recommendations

Xie

Yuan

et al. 2007

International Orthopaedics (SICO

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A retrospective study evaluating complications in 2,233 consecutive patients of subaxial cervical disorders treated with an anterior cervical locking plate was performed, and recommendations for prevention and treatment were made. The average length of follow-up was 1.3 years. Any loosening or breaking of the plates and screws or malpositions that threatened tracheoesophageal or neurovascular structures were defined as the complications. There were 239 cases (10.7%) with different kinds of complications. The complications included oblique plating in 56 cases in which the screw could irritate the nerve root. Screws were driven into the disc space in four cases, which ultimately led to plate loosening. Screws penetrated the endplate or passed excessively close to it producing a triangle fracture in 19 cases. Loosening or breaking of the plate and the screw was found in 115 cases. These phenomena were always associated with non-union. Three oesophageal perforations occurred and conservative treatments proved effective. Finally, overlong plates impinged on the adjacent level in 14 cases and promoted disc degeneration ultimately leading to revision surgery. Good training and careful operation may help to decrease the complication rate. Most hardware complications are not symptomatic and can be treated conservatively. Only a few of them need immediate reoperation.Résumé Nous avons réalisé une étude rétrospective de 2,233 patients consécutifs, traités par plaques cervicales verrouillées pour divers problèmes cervicaux. Le suivi moyen a été de 1.3 ans. Nous n'avons observé aucun démontage ni aucune fracture de matériel. Les malpositions de la plaque avec des lésions trachéo oesophagiennes ou neurovasculaires ont été répertoriées comme complications. Celles-ci ont été au nombre de 239 (10.7%), notamment une malposition de plaque implantée obliquement avec une irritation des racines nerveuses. Les vis étaient dans l'espace inter discal dans 4 cas avec un démontage dans les suites. Les anomalies au niveau de la plaque ont été retrouvées dans 115 cas. Celles-ci sont toujours associées à une pseudarthrose. Nous avons observé trois perforations de l'oesophage qui ont été traitées de façon conservatoire. Un conflit avec la plaque ou une dégénération discale du disque adjacent est survenu 14 fois. Avec la courbe d'apprentissage, les résultats devraient s'améliorer et le taux de complication diminuer. La plupart des complications dues au matériel n'ont pas entraîné de symptômes et n'ont pas été traitées.

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Section: Introductionmentioning

confidence: 99%

Anterior cervical locking plate-related complications; prevention and treatment recommendations

Xie

Yuan

et al. 2007

International Orthopaedics (SICO

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“…Since then, several authors have described the clinical success of plate fixation in the treatment of cervical spine fractures (Gassman and Seligson 1983, Caspar et al 1989, Aebi et al 1991. More recently, the indications for this procedure have been expanded to include degenerative conditions (Tippets and Apfelbaum 1988).…”

mentioning

confidence: 99%

One-level cervical spine fusion: A randomized study, with or without plate fixation, using radiostereometry in 27 patients

Zoëga

Kärrholm

Lind

1998

Acta Orthopaedica Scandinavica

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“…pansão da cabeça do parafuso (parte proximal) sobre o orifício da placa e a expansão da parte distal ou corpo do parafuso sobre o tecido ósseo adjacente (3,(5)(6)(7)(8)(9)(10)(11) .…”

Section: Resultsunclassified

“…As placas em forma de "H" e especialmente desenhadas para a utilização na parte anterior das vértebras cervicais foram introduzidas por Orozco, em 1970, e foram a base para o desenvolvimento das gerações ulteriores de placas cervicais que seguiram o seu conceito e principio de fixação (2)(3)(4)(5)(6)(7)(8)(9)(10) .…”

Section: Introductionunclassified

Estudo histomorfométrico da interface óssea do parafuso expansor cervical

Defino

2008

Rev. bras. ortop.

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The Anterior Cervical Plate

Cited by 66 publications

References 0 publications

Anterior cervical locking plate-related complications; prevention and treatment recommendations

Anterior cervical locking plate-related complications; prevention and treatment recommendations

One-level cervical spine fusion: A randomized study, with or without plate fixation, using radiostereometry in 27 patients

Estudo histomorfométrico da interface óssea do parafuso expansor cervical

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