Discussion on the anterior locking cervical plate systems / 重庆医科大学学报

ABSTRACT

Objective:To observe the result and to study the complications and prevention methods for the different anterior locking cervical plate systems.Methods:150 patients with the cervical fracture-dislocations,spondylotic myelopathy,tuberclusis and tumors of the cervical spine were treated using CSLP?ORION and CODMAN anterior locking cervical plate systems.Results:All the patients were followed up for 3-6 months. The symptom of nervous system recovered,and the bone grafting was fused completely.The complications related to the anterior cervical plate occurred including protrusion of the fixation screws into disc pace,defluxion of the plate,migration of the screws and plate.Most of the complications were caused by insufficient exposure and improperly technological performance.Conclusion:Anterior locking cervical plate systems can provide reliable stability for the fixation segments and it is useful for fusion of the grafting bone,it is important to be familiar with anatomical knowledge of the cervical vertebrae,sufficient exposure of the lesion,correct plate selection and proper technical principles of the different anterior locking cervical plate systems play an important role in avoiding the complications.