PMID: 9428891Jan 16, 1998Paper

Anterior cervical fusion using Caspar plating: analysis of results and review of the literature

Surgical Neurology
B Bose

Abstract

Ninety-seven patients underwent anterior cervical fusions after discectomy and/or corpectomy. Fibular allograft was used in 13 cases and iliac crest was used in the remaining 84 patients. Lateral cervical spine X-rays were reviewed for evaluation of fusion and instrumentation failures. Solid fusion was achieved in all but two patients (97.91%). Nineteen patients developed instrumentation related failures. Seven patients developed fracture of one screw each (one superior and six inferior). Ten patients developed screw back out (inferior screw) and in one patient the superior screws were found to be 2 mm posterior to the posterior cortex but did not cause any neurological deficits. Seven of these patients underwent revision surgery. No complications related to the instrumentation were encountered in the last 34 cases. There were no infections in this series. Five patients developed temporary dysphagia. Two developed temporary deltoid weakness and three patients developed transient recurrent laryngeal nerve palsy. One developed acute airway obstruction but the patient had a pre-existing epiglottic anomaly and sleep apnea disorder. In selected cases, the Caspar plating system affords an effective means of improving the fusion rate ...Continue Reading

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Citations

Jan 22, 2010·Dysphagia·Yuo-Chen Kuo, Marc S Levine
Feb 16, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Oliver HeeseLuca Papavero
Feb 16, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Oliver HeeseLuca Papavero
Dec 1, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Martin StrowitzkiHans Jaksche
Aug 31, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sung Bae ParkChun Kee Chung
Mar 8, 2005·The Spine Journal : Official Journal of the North American Spine Society·Guy R Fogel, Mark F McDonnell
Jun 28, 2003·Clinical Biomechanics·Saiwei Yang, Lee-Wei Wang
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Matthew J AllenHansen A Yuan
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Nancy Epstein
Nov 12, 2003·The Spine Journal : Official Journal of the North American Spine Society·Dino SamartzisHoward S An
Apr 30, 2002·Spine·H Claude SagiPatrick J Connolly
Jul 20, 2002·Journal of Spinal Disorders & Techniques·Nancy E Epstein
Apr 7, 2007·Spine·Ian P Wright, Stephen M Eisenstein
Sep 23, 2009·Journal of Neurosurgery. Spine·Elias DakwarFernando L Vale
Sep 3, 2009·Neurosurgical Focus·Ali A BaajNeil R Crawford
Jul 16, 2013·Journal of Neurosurgery. Spine·Ching-Jen ChenChristopher I Shaffrey
Oct 11, 2005·Neurosurgical Focus·Bryan BarnesMichael Kaiser
Oct 11, 2005·Neurosurgical Focus·Regis W HaidBryan Barnes
May 27, 2005·Neurosurgical Focus·Nancy Epstein
Jul 22, 2004·Neurosurgical Focus·Roham Moftakhar, Gregory R Trost
Jan 8, 2005·Neurosurgical Focus·Neil DuggalJana L Keller
Jul 21, 1999·Journal of Neurosurgery·W CasparT A Johnson
Sep 26, 2002·Journal of Neurosurgery·Michael H Sukoff
Aug 5, 2004·Journal of Neurosurgery. Spine·Sagun K TuliEric J Woodard

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