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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 53, No. 4, 2005, pp. 433-439
Bioline Code: ni05147
Full paper language: English
Document type: Research Article
Document available free of charge

Neurology India, Vol. 53, No. 4, 2005, pp. 433-439

 en Indications and techniques for anterior cervical plating
Rhee JohnM, Park Jong-Beom, Yang Jun-Young, Riew DanielK

Abstract

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.

Keywords
Anterior cervical fusion; cervical plate; surgical technique; surgical indication

 
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