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 REVIEW ARTICLE
Year : 2005  |  Volume : 53  |  Issue : 4  |  Page : 424--432

Anterior cervical plating


1 Department of Neurosurgery, The Cleveland Clinic Foundation, Euclid Avenue S80, Cleveland, OH - 44195, USA
2 Cleveland Clinic Spine Institute, The Cleveland Clinic Foundation 9500, Euclid Avenue S80, Cleveland, OH - 44195, USA

Correspondence Address:
E C Benzel
Department of Neurosurgery, Cleveland Clinic Spine Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue S80, Cleveland, OH -44195
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.22608

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Although anterior cervical instrumentation was initially used in cervical trauma, because of obvious benefits, indications for its use have been expanded over time to degenerative cases as well as tumor and infection of the cervical spine. Along with a threefold increase in incidence of cervical fusion surgery, implant designs have evolved over the last three decades. Observation of graft subsidence and phenomenon of stress shielding led to the development of the new generation dynamic anterior cervical plating systems. Anterior cervical plating does not conclusively improve clinical outcome of the patients, but certainly enhances the efficacy of autograft and allograft fusion and lessens the rate of pseudoarthrosis and kyphosis after multilevel discectomy and fusions. A review of biomechanics, surgical technique, indications, complications and results of various anterior cervical plating systems is presented here to enable clinicians to select the appropriate construct design.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow