Anterior Cervical Instrumentation Using Intradiscal Cage with Integrated Plate.
- Author:
Kyoung Rok AHN
1
;
Kyeong Sik RYU
;
In Bok CHANG
;
Byung Moon CHO
;
Se Hyuck PARK
;
Sae Moon OH
Author Information
1. Department of Neurosurgery, Hallym University College of Medicine, Seoul, Korea. nsdoc35@hallym.or.kr
- Publication Type:Original Article
- Keywords:
Anterior cervical interbody fusion;
Intradiscal cage;
Degenerative cervical disease
- MeSH:
Animals;
Humans;
Lordosis;
Reoperation;
Retrospective Studies
- From:Journal of Korean Neurosurgical Society
2006;39(4):260-264
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The retrospective study is undertaken to report clinical results of anterior cervical interbody fusion with an intradiscal cage with an integrated plate (PCB cervical plating system). METHODS: 38 patients underwent anterior cervical interbody fusion with PCB cervical plating system and followed 6~24 months. The authors investigated overall surgical results; clinical outcome, fusion rate, change of interspace height & lordotic angle, and complications. RESULTS: No complication was observed during the operation. Clinical improvement was identified in 34 cases (89.5%). Bone fusion observed in 44 out of 49 sites (90.7%). After operation, the interspace height increased from 5.4+/-1.3 mm to 7.8+/-1.5 mm and maintained 7.4+/-1.1 mm and, interspace angle went up from 4.2+/-0.7 degrees to 4.8+/-1.1 degrees and maintained 4.6+/-0.9 degrees. The loosening of screw was observed in 6 cases, one of which had reoperation because of the expulsion of the device accompanied. CONCLUSION: PCB cervical plating system could restore interbody height and lordosis in anterior cervical interbody fusion. But, if the insertion of the spacer is not precise, the frequencies of hardware failure are relatively high. It is considered necessary for the operator to be careful in the procedure.
