Anterior stabilisation by bone graft and plate for fracture dislocation of cervical spine

ABSTRACT

In fracture-dislocation of the cervical spine, there is associated injury of the stabilizing posterior elements. Anterior inter-body bone block as suggested by Robinson and Cloward did not provide stability of the injured segment. Additional fixation by H-plate was employed over the past year in ten cases. Cervical collar fixation was enforced for two months. All cases had neurological involvement before surgery. In none, the neurological deficit increased, while in seven cases partial or marked improvement occurred. Satisfactory radiological appearance with restoration of the spinal canal was achieved in all cases