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 REVIEW ARTICLE
Year : 2005  |  Volume : 53  |  Issue : 4  |  Page : 433--439

Indications and techniques for anterior cervical plating


1 Department of Orthopaedic Surgery, Emory Spine Center, Emory University School of Medicine, Atlanta, GA, USA
2 Uijongbu St. Mary's Hospital, The Catholic University School of Medicine, Daejeon, Korea
3 Chungnam National University Hospital, Daejeon, Korea
4 Washington University School of Medicine, St. Louis, MO, USA

Correspondence Address:
Daniel K Riew
Department of Orthopaedic Surgery, One Barnes-Jewish Hospital Plaza, Suite - 11300 West Pavilion, St. Louis, MO 63110
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.22609

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Anterior cervical plating is commonly performed to stabilize anterior cervical fusions. Modern plating options include dynamic plates, with screws that can either toggle within fixed holes or translate within slotted holes. Regardless of the plating system used, paramount to success and avoidance of complications with plated anterior cervical fusions are meticulous plating techniques, exacting graft carpentry, and understanding the biomechanical limitations of plating in certain situations, such as multilevel corpectomies reconstructed with a single-strut graft. In order to prevent graft-related complications associated with long-strut grafts, additional posterior fixation and fusion, or alternative corpectomy constructs, such as multilevel anterior cervical discectomy and fusion, corpectomy-discectomy, and corpectomy-corpectomy, should be considered instead if the pattern of stenosis allows.






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