ONE-STAGE INTERNAL-FIXATION AND ANTERIOR FUSION IN COMPLEX CERVICAL SPINAL-DISORDERS

被引:67
作者
JOHNSTON, FG [1 ]
CROCKARD, HA [1 ]
机构
[1] UCL NATL HOSP NEUROL & NEUROSURG, DEPT NEUROL SURG, LONDON WC1N 3BG, ENGLAND
关键词
ANTERIOR CERVICAL FUSION; INTERNAL FIXATION; KYPHUS; SPINAL PLATE;
D O I
10.3171/jns.1995.82.2.0234
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe their experience with the Morscher titanium cervical plate with cancellous locking screws in the management of complex cervical spine disorders. Fifty patients (32 males and 18 females) with a mean age of 54 years (range 10 to 84 years) underwent anterior spinal fixation that extended two to five vertebral bodies, using a titanium cervical plate and autogenous bone graft. Surgeries were performed for a variety of reasons: one for a congenital lesion, five for spinal neoplasms, nine for trauma, and 35 for degenerative arthritides. Ten patients had symptomatic kyphoses due to previous laminectomy, failed anterior surgery, or trauma. Satisfactory fixation and fusion with no neurological deterioration was obtained in all but two cases. Specific complications included six cases of dysphagia, one of sepsis, one of Homer's syndrome, and one case in which the patient had a fatal myocardial infarction the night after surgery. At the end of the follow-up period, fusion was found to have occurred in all remaining cases with no outstanding implant-related problems.
引用
收藏
页码:234 / 238
页数:5
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