Cervical stabilization by plate and bone fusion.

Abstract:

:Anterior stabilization with combined plate and bone fusion was performed after neural decompression on ten patients for spondylotic cervical myelopathy, and for radiculopathy or trauma in three patients. Medial corpectomy was performed at one to four levels. Iliac crest or fibular bone grafts were secured by plates anchored to the graft and adjacent vertebral bodies. All patients were placed in Minerva braces postoperatively. There was successful fusion in all cases, and no graft dislodgement or kyphosis. Early initiation of rehabilitation was achieved. Morbidity occurred in patients with severe spondylotic cervical myelopathy. This include respiratory depression requiring reintubation in 2/13 procedures, dysphagia (2/13) from loosening of the screws or prominent hardware and graft, and screw loosening (2/13). Neurological improvement was present in 85% (11/13) of patients. There was no deterioration of neurological function in any case. We conclude from this early follow-up that anterior bone fusion with supplemental plates provides effective stabilization for the unstable cervical spine. Greater morbidity risk exists in patients with severe spondylotic cervical myelopathy and spastic quadriparesis who required multilevel medial corpectomies and fusion.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Brown JA,Havel P,Ebraheim N,Greenblatt SH,Jackson WT

doi

10.1097/00007632-198803000-00003

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

236-40

issue

3

eissn

0362-2436

issn

1528-1159

journal_volume

13

pub_type

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