Spinous process plate fixation as a salvage operation for failed anterior cervical fusion - Technical note
Spinous process plate fixation as a salvage operation for failed anterior cervical fusion - Technical note
复制标题
DOI：
10.3171/spi.2006.4.1.78
复制
发表时间：
2006-01-01
影响因子：
2.8
通讯作者：
Nakamura, T
中科院分区：
文献类型：
--
作者：
Neo, M;Fujibayashi, S;Nakamura, T
本回顾性综述的目的是证明简单棘突钢板固定作为颈椎前路融合术（ACF）失败的挽救手术的有效性。在这种技术中，棘突被牢固地夹在一对带刺的板之间，通过穿过板的紧固螺钉将棘突挤压在一起。作者通过在不植骨的情况下进行固定，或仅使用前部或后部局部植骨，挽救了6例失败的ACF（植骨不连、钢板移位或植骨脱位）。所有病例均在6个月内获得前部骨愈合。该技术易于操作，可能比传统棘突钢丝提供更大的机械强度，导致迅速融合，无需新的大块骨移植物。该技术是一种实用的选择，在抢救行动失败的ACF。
The purpose of this retrospective review was to demonstrate the effectiveness of simple spinous process plate fixation as a salvage operation for failed anterior cervical fusion (ACF). In this technique, the spinous processes are securely sandwiched between a pair of plates with thorns, which are squeezed together by tightening screws that extend through the plates. The authors salvaged six failed ACFs (nonunion of bone graft, plate migration, or bone graft dislodgment) by conducting this fixation without bone grafting, or with an anterior or posterior local bone graft only. Anterior bone union was attained within 6 months in all cases. This technique is easy to perform and probably provides more mechanical strength than does conventional spinous process wiring, resulting in prompt fusion Without the need for a new massive bone graft. This technique is a practical option in salvage operations for failed ACF.