POSTERIOR STABILIZATION OF THE CERVICAL-SPINE WITH HOOK PLATES

被引：124

作者：

JEANNERET, B

MAGERL, F

WARD, EH

WARD, JC

机构：

[1] Klinik für Orthopädische Chirurgie, Kantonsspital, St. Gallen

来源：

SPINE | 1991年 / 16卷 / 03期

关键词：

POSTERIOR CERVICAL STABILIZATION; HOOK-PLATE FIXATION;

D O I：

10.1097/00007632-199103001-00010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Hook-plate fixation is designed for posterior cervical stabilization from C2 to C7. Indications remain the same as for standard posterior fixations. The prime indications are discoligamentous injuries. The plates are hooked under the lower laminas and attached to the articular masses of the upper vertebra by oblique screws. An H-graft is placed between the spinous processes. The vertebrae are compressed together by the plates at three points, the facet joints, and graft. The resulting prestressed system is stable in all directions. A protocol for safe reduction of cervical dislocations is observed. Of 70 patients treated from 1979 to 1986, 51 were examined 12-54 months after surgery. All fusions consolidated. Two neurologic complications not attributable to the fixation occurred. Other major complications were not seen.

引用

页码：S56 / S63

页数：8

共 34 条

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