Abstract
Anterior cervical discectomy, fusion, and plating is a routine technique in both neurosurgical and orthopedic surgery. Here, indications, technical prerequisites, approach, and performance as well as tips and tricks to avoid complications are illuminated. Anterior cervical decompression and fusion using an autologous bone graft has been developed by Bailey and Badgley (J Bone Joint Surg Am 42:565–594, 1960) and refined by Cloward (J Neurosurg 15:602–617, 1998), Smith and Robinson (J Bone Joint Surg Am 40:607–624, 1985), and Verbiest (J Bone Joint Surg Am 51:1489–1530, 1969). Using this technique for fixation of traumatic instability of the cervical spine, it was shown that the treated segment was prone to displacement (Van Petegham and Schweigel, J Trauma 19:110–114, 1979). To avoid graft complications such as graft dislocation or graft settling and to avoid the necessity of an external orthosis – i.e., a halo body jacket – anterior cervical plating was first used by Hermann (Acta Neurochir 32:101–111, 1975), who published his experiences in 1975.
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References
Bailey RW, Badgley CE (1960) Stabilization of the cervical spine by anterior fusion. J Bone Joint Surg Am 42:565–594
Böhler J, Gaudernack T (1980) Anterior plate stabilization for fracture-dislocations of the lower cervical spine. J Trauma 20:203–205
Caspar W, Barbier D, Klara PM (1989) Anterior cervical fusion and Caspar plate stabilization for cervical trauma. Neurosurgery 25:491–502
Caspar W, Geisler F, Pitzen T et al (1998) Anterior cervical plate stabilization in one – and two – level degenerative disease: overtreatment or benefit? J Spinal Disord 11:1–11
Caspar W, Pitzen T (1999) Anterior cervical fusion and trapezoidal plate stabilization for re – do surgery. Surg Neuro 52:345–352
Caspar W, Pitzen T, Papavero L et al (1999) Anterior cervical plating for the treatment of neoplasms in the cervical spine. J Neurosurg Spine 1:27–34
Cloward RB (1998) The anterior approach for removal of ruptured discs. J Neurosurg 15:602–617
De Olivera JC (1987) Anterior plate fixation of traumatic lesions of the lower cervical spine. Spine 12:324–331
Hermann HD (1975) Metal plate fixation after anterior fusion of unstable fracture dislocation of the cervical spine. Acta Neurochir 32:101–111
Karasick D (1993) Anterior cervical spine fusion: struts, plugs and plates. Skeletal Radiol 22:85–94
Orozco DR, Llovet TR (1972) Osteosintesis en las lesiones traumaticas y degeneratives de la columna vertebral. Revista Traumatol Chirurg Rehabil 1:45–52
Papadopoulos MS (1993) Anterior cervical instrumentation. Clin Neurosurg 40:273–285
Pitzen T, Barbier D, Tintinger F et al (2002) Screw fixation to the posterior cortical shell does not influence peak torque and pullout in anterior cervical plating. Eur Spine J 11:494–499
Pitzen T, Kiefer R et al (2006) Filling a cervical spine cage with local autograft: change of bone density and assessment of bony fusion. Zentralbl Neurochir 67:8–13
Pitzen T, Lane C, Goertzen D, Dvorak M et al (2003) Anterior cervical plate fixation: biomechanical effectiveness as a function of posterior element injury. J Neurosurg 99:84–90
Pitzen T, Wilke HJ, Caspar W, Steudel WI, Claes L (1999) Evaluation of a new monocortical screw for anterior cervical fusion and plating by a combined biomechanical and clinical study. Eur Spine J 8:382–387
Ryken TC, Clausen JD, Traynelis VC, Goel VK (1995) Biomechanical analysis of bone mineral density, insertion technique, screw torque, and holding strength of anterior cervical plate screws. J Neurosurg 83:324–329
Smith GW, Robinson RA (1985) The treatment of cervical spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg Am 40:607–624
Tippits R, Apfelbaum R (1998) Anterior cervical fusion with the Caspar instrumentation system. Neurosurgery 22:1008–1013
Van Petegham PK, Schweigel JF (1979) The fractured cervical spine rendered unstable by anterior cervical fusion. J Trauma 19:110–114
Verbiest H (1969) Antero-lateral operation for fractures and dislocations in the middle and lower parts of the cervical spine. J Bone Joint Surg Am 51:1489–1530
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© 2012 Springer-Verlag Berlin Heidelberg
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Pitzen, T. (2012). Anterior Cervical Discectomy, Fusion, and Plating. In: Vieweg, U., Grochulla, F. (eds) Manual of Spine Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22682-3_21
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DOI: https://doi.org/10.1007/978-3-642-22682-3_21
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