Summary
The authors present their experience with the use of anterior metal plate fixation in thirty-seven patients with an unstable lower cervical spine injury. The application of a metal plate was simple and achieved immediate stabilization. This alternative method of internal fixation of the cervical spine allowed early mobilization and avoidance of complications from long-term skeletal traction. It short-ened the hospital stay. The purpose of this paper is to describe the principles of this technique and to discuss its indications and applications.
Similar content being viewed by others
References
Bailey RW, Badgley CE (1960) Stabilization of the cervical spine by anterior fusion. J Bone Joint Surg 42 A: 565–624
Bohler J, Gavdernak T (1980) Anterior plate stabilization for fracture-dislocation of lower cervical spine. J Trauma 20: 203
Bremer AM, Nguyen TQ (1983) Internal metal plate fixation combined with anterior interbody fusion in cases of cervical spine injury. Neurosurg 12: 649–653
Caspar W (1983) Advances in cervical spine injury. First experiences with the trapezial osteosynthetic plate and a new surgical instrumentation for anterior interbody stabilization. 7th European Neurosurgical Congress, Brussels, Belgium, Abstract volume, p 253
Caspar W (1985) Anterior stabilization with the trapezial osteosynthetic plate technique in cervical injury. In: Kehr P, Weidner A (eds) Cervical spine 1. Springer, Wien New York, pp 198–204
Cloward RD (1961) Treatment of acute fractures and fracture dislocations of cervical spine by vertebral body fusion. A report of 11 cases. J Neurosurg 18: 205–209
Cooper PR, Ransohoff J (1983) Surgical treatment in the cervical spine. In: Bailey RW (ed) The cervical spine. JB Lippincott Co, Philadelphia
De Oliveira JC (1987) Anterior plate fixation of traumatic lesions of the lower cervical spine. Spine 12 (4): 324–329
Gassman S, Seligson D (1983) The anterior cervical plate. Spine 8: 700–707
Glaser JA, Whitehill R, Stamp WLet al (1986) Complications associated with halo vest. J Neurosurg 65: 762–779
Herrmann HD (1975) Metal plate fixation after anterior fusion of unstable fracture dislocation of the cervical spine. Acta Neurochir (Wien) 32: 101–111
Lesoin F, Cama A, Lozes Get al (1984) The anterior approach and plates in lower cervical posttraumatic lesions. Surg Neurol 21: 581–587
Senegas J (1972) Fractures et luxations recent du racgus cervical sans troubles neurologiques. Rev Chir Orthop 58 [Suppl I] 353–366
Shoung HM, Lee LS (1985) Anterior cervical spine fusion and interbody stabilization with Caspar osteosynthetic plate for unstable cervical spine injury. J Surg Assoc ROC 18: 427–435
Smith GW, Robinson RA (1958) Treatment of cervical spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg 40 A: 607–624
Stauffer ES (1984) Fractures of the spine, Part I: The cervical spine. In: Rockwell Jr CA, Greem DP (eds) Fractures in adults, 2nd ed. JB Lippincott, Philadelphia, pp 987–1035
Stauffer ES, Kelly EG (1979) Fracture dislocation of the cervical spine. J Bone Joint Surg 59 A: 45–48
Tew Jr JM, Mayfield FH (1979) Complications of surgery of the anterior cervical spine. Clin Neurosurg 23: 424–439
Verbiest H (1969) Anterio-lateral operation for fractures and dislocations in the middle and lower parts of the cervical spine. J Bone Joint Surg 51 A: 1489–1530
Van Peteghem PK, Schweigel JF (1979) The fractured cervical spine rendered unstable by anterior cervical fusion. J Trauma 19: 110–114
White AA, Panjabi MM (1978) Clinical biomechanics of the spine. JB Lippincott, Philadelphia, pp 191–235
White AA, Panjabi MM (1984) The role of stabilization in the treatment of cervical spine injuries. Spine 9: 512–522
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shoung, H.M., Lee, L.S. Anterior metal plate fixation in the treatment of unstable lower cervical spine injuries. Acta neurochir 98, 55–59 (1989). https://doi.org/10.1007/BF01407177
Issue Date:
DOI: https://doi.org/10.1007/BF01407177