Document Detail


Anterior cervical fixation with the titanium locking screw-plate: a preliminary report.
MedLine Citation:
PMID:  7974146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Anterior fixation of cervical spine with screw-plates is gaining in popularity in the management of anterior cervical spine instability. We report on our initial experience with anterior cervical fixation using the titanium locking screw-plate (TLSP). Twelve cases, including cervical trauma, cervical spondylosis, and ossification of the posterior longitudinal ligament (OPLL), underwent multilevel corpectomies or spondylectomies with iliac bone or hydroxylapatite grafting combined with the TLSP system. All 12 patients fused or stabilized with improvement of their neurologic symptoms at a mean follow-up period of 13 months. There were no complications relating to this plating system. Three illustrative cases are presented. Different from previous anterior cervical planting systems such as the Caspar plate, the TLSP system does not gain purchase on the posterior vertebral cortex. It thus reduces possible spinal cord injury during screw placement. The TLSP with interbody fusion may provide reliable stabilization of the cervical spine in a safe and effective manner.
Authors:
T Tominaga; K Koshu; K Mizoi; T Yoshimoto
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Publication Detail:
Type:  Case Reports; Clinical Trial; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  42     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1994-12-15     Completed Date:  1994-12-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  408-13     Citation Subset:  IM    
Affiliation:
Division of Neurosurgery, Institute of Brain Diseases, Tohoku University School of Medicine, Sendai, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bone Plates*
Bone Screws*
Cervical Vertebrae / surgery*
Durapatite*
Female
Humans
Internal Fixators
Male
Middle Aged
Spinal Diseases / surgery
Spinal Fusion / methods*
Titanium*
Treatment Outcome
Chemical
Reg. No./Substance:
1306-06-5/Durapatite; 7440-32-6/Titanium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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