Application of non-restrictive plate.docVIP

 PAGE \* MERGEFORMAT 16 Application of non-restrictive plate [Keywords:] cervical fixation In recent years, with the cervical internal fixation devices and surgical techniques designed to improve the perfection of anterior cervical operation was rapid development. Despite reported in the literature, the use of cervical plate of non-restricted anterior fusion can provide immediate postoperative stability, but also can effectively reduce graft extrusion, collapse and the end plate fracture delayed the production of cervical kyphosis. over rigid internal fixation of the graft associated with delayed union or nonunion, although issues such as use of non-restrictive plate resolved, but many scholars found that non-restrictive plate pressure has increased over the trend of graft collapse. In the face of conflicting literature and emerging new products, how to make the right anterior cervical plate choose to be troubled the problem of spinal surgeons [1]. 1 Classification of anterior cervical plate Since 1964, Bohler [2] for the treatment of the anterior cervical plate trauma, but because of its significant advantages are widely used in all the anterior cervical spine surgery [3]. After anterior cervical plate increasing the research and application, there series of anterior cervical plate system. Haid et al [4] According to the evolution of steel and biomechanical mechanisms, broader clinical application of anterior cervical plate is divided into four categories: non-lock non-solid type, in order for the Caspar plate Two representatives of cortical screws (cortical bone screw) type. rugged lock to CSlP and Orion plate represented by a single cortical screw (cancellous bone screw) type. semi-limited angle to Codman plate and Peak multi-axis to the self-locking plate, represented by a single cortical screw (cancellous screw can be rotated) type. semi-limited slip, the DOC as the representative of a single cortical plate screws (cancellous bone screws ca