Modular cervical plate system for adjacent segment disease.

Journal of Neurosurgical Sciences
Ammar H HawasliNeill M Wright

Abstract

Adjacent-level disease after anterior cervical discectomy and fusion (ACDF) occurs in a significant proportion of patients and frequently requires revision operation. Methods using traditional plates typically require removal of the plate with anecdotally increased operative-time and morbidity. We review our experience in treating symptomatic adjacent-segment disease using both traditional plate removal and modular-plate system which allows for add-on plate components rather than removal of the entire plate. Authors compared 64 patients with revision surgery using modular-plate system for adjacent-segment disease compared to 2-cohorts: 1) patients with traditional plate-removal; and 2) patients with no prior plate. Clinical data included demographics, original surgery, presentation, current surgery, use of modular system, need for preoperative computed-topography, operative-time, blood loss, hospital stay, complications, length of dysphagia, neck disability index and time-until-fusion. Modular cervical plate system was utilized to prevent exposure and removal of the entire plate. The terminal portion of the plate was exposed and the distal module was removed. Following the discectomy/arthrodesis, a module-plate extension was ad...Continue Reading

References

May 4, 1999·The Journal of Bone and Joint Surgery. American Volume·A S HilibrandH H Bohlman
Dec 18, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ji-Soo SongKyung-Jin Song
Mar 25, 2014·European Journal of Radiology·Ravi GuttikondaBrad Pohlman
May 20, 2015·The Spine Journal : Official Journal of the North American Spine Society·Michael F ShriverThomas E Mroz
Feb 26, 2016·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·Yuqiao ChenLei Kuang
Mar 13, 2016·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·Yijie LiuWeimin Jiang
Mar 12, 2017·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·Mithun NambiarRalph Mobbs

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