AI Article Synopsis
- Anterior cervical plating is essential for stabilizing fusions in the neck, using modern plates that allow for flexible adjustments with screws in fixed or slotted holes.
- Success in these procedures heavily relies on precise plating techniques, careful graft shaping, and an understanding of the mechanical limits of the plating system, especially in complex cases like multilevel corpectomies.
- To avoid complications from long-strut grafts, it's advisable to consider additional stabilization methods such as posterior fixation or different surgical constructs like anterior cervical discectomy and fusion, depending on the patient's specific stenosis pattern.
Article Abstract
Anterior cervical plating is commonly performed to stabilize anterior cervical fusions. Modern plating options include dynamic plates, with screws that can either toggle within fixed holes or translate within slotted holes. Regardless of the plating system used, paramount to success and avoidance of complications with plated anterior cervical fusions are meticulous plating techniques, exacting graft carpentry, and understanding the biomechanical limitations of plating in certain situations, such as multilevel corpectomies reconstructed with a single-strut graft. In order to prevent graft-related complications associated with long-strut grafts, additional posterior fixation and fusion, or alternative corpectomy constructs, such as multilevel anterior cervical discectomy and fusion, corpectomy-discectomy, and corpectomy-corpectomy, should be considered instead if the pattern of stenosis allows.
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| http://dx.doi.org/10.4103/0028-3886.22609 | DOI Listing |
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