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Overview of Surgical Techniques and Implants

  • Tobias Pitzen
Chapter

Abstract

Short overview on different techniques and implants for anterior decompression, fixation, and realignment within the cervical spine. Degenerative disc diseases, ossifications of the posterior longitudinal ligament, vertebral body tumours, spondylodiscitis, and vertebral body compression fractures are among the most frequent cervical spine pathologies a spine surgeon has to deal with. All these are located within the anterior aspect of the cervical spine – which are the vertebral bodies and the discs. Thus, anterior cervical spine techniques (including anterior decompression, fixation, and realignment) are among the most popular and necessary ones within the armamentarium of a spine surgeon. Within this chapter, we will give a short overview on different techniques for anterior decompression, fixation, and realignment within the cervical spine. Moreover, different anterior implants for dynamic and permanent osseous fixation, distributed by different companies, are presented.

Keywords

Cervical Spine Vertebral Body Degenerative Disc Disease Posterior Longitudinal Ligament Disc Prosthesis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Bohler J, Gaudernak T (1980) Anterior plate stabilization for fracture dislocations of the lower cervical spine. J Trauma 20:203–205PubMedCrossRefGoogle Scholar
  2. 2.
    Bose B (1998) Anterior cervical fusion using Caspar plating: analysis of results and review of the literature. Surg Neurol 49:25–31PubMedCrossRefGoogle Scholar
  3. 3.
    Caspar W, Barbier DD, Klara PM (1989) Anterior cervical fusion and Caspar plate stabilization for cervical trauma. Neurosurgery 25:491–502PubMedCrossRefGoogle Scholar
  4. 4.
    Caspar W, Geisler FH, Pitzen T et al (1998) Anterior cervical plate stabilization in one- and two-level degenerative disease: overtreatment or benefit? J Spinal Disord 11:1–11PubMedCrossRefGoogle Scholar
  5. 5.
    Chen IH (1996) Biomechanical evaluation of subcortical versus bicortical screw purchase in anterior cervical plating. Acta Neurochir 138:167–173CrossRefGoogle Scholar
  6. 6.
    Cloward RB (1958) The anterior approach for removal of ruptured cervical discs. J Neurosurg 15:602–617PubMedCrossRefGoogle Scholar
  7. 7.
    Cloward RB (1961) Treatment of acute fractures and fracture-dislocations of the cervical spine by vertebral-body fusion. J Neurosurg 18:201–209PubMedCrossRefGoogle Scholar
  8. 8.
    Haid RW, Foley KT, Rodts GE et al (2002) The cervical spine study group anterior cervical plate nomenclature. Neurosurg Focus 12(1):Article 15CrossRefGoogle Scholar
  9. 9.
    Morscher E, Sutter F, Jenny H et al (1986) Die vordere Verplattung der Halswirbelsaule mit dem Hohlschrauben-Plattensystem aus Titanium. Chirurg 57:702–707PubMedGoogle Scholar
  10. 10.
    Orozco DR, Llovet TR (1971) Osteosintesis en las lesions traumaticas y degeneratives de la columna vertebral. Revista Traumatol Cirurg Rehabil 1:45–52Google Scholar
  11. 11.
    Rengachary SS, Sanan A (1996) Anterior stabilization of the cervical spine using locking plate systems. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 2983–2986Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Spine SurgerySRH Klinikum Karlsbad-LangensteinbachKarlsbadGermany

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