Indications and techniques for anterior cervical plating

Anterior cervical plating is commonly performed to stabilize anterior cervical fusions. Modern plating options include dynamic plates, with screws that can either toggle within fixed holes or translate within slotted holes. Regardless of the plating system used, paramount to success and avoidance of...

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Bibliographic Details
Published inNeurology India Vol. 53; no. 4; pp. 433 - 439
Main Authors Rhee, John M, Park, Jong-Beom, Yang, Jun-Young, Riew, Daniel K
Format Journal Article
LanguageEnglish
Published India Medknow Publications & Media Pvt. Ltd 01.12.2005
Subjects
Bone Plates - adverse effects
Bone Transplantation
Cervical Vertebrae - injuries
Cervical Vertebrae - surgery
Humans
Spinal Fusion
Spinal Injuries - surgery
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Summary:Anterior cervical plating is commonly performed to stabilize anterior cervical fusions. Modern plating options include dynamic plates, with screws that can either toggle within fixed holes or translate within slotted holes. Regardless of the plating system used, paramount to success and avoidance of complications with plated anterior cervical fusions are meticulous plating techniques, exacting graft carpentry, and understanding the biomechanical limitations of plating in certain situations, such as multilevel corpectomies reconstructed with a single-strut graft. In order to prevent graft-related complications associated with long-strut grafts, additional posterior fixation and fusion, or alternative corpectomy constructs, such as multilevel anterior cervical discectomy and fusion, corpectomy-discectomy, and corpectomy-corpectomy, should be considered instead if the pattern of stenosis allows.
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ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.22609