Lei Li1, Shao-qian Cui, Huan Wang. 1. Department of Orthopedic Surgery, No. 2 Affiliated Hospital, China Medical University, Shenyang, Liaoning, P. R. China 110004.
Abstract
OBJECTIVE: To summarize the methods and skills of anterior cervical locking plate systems in clinical application and to analyze the causes of some complications as well as give some preventive or remedial countermeasures. METHODS: From 1998 to 2002, 159 patients with cervical spondylotic myelopathy, fracture-dislocation, tumor or tuberculosis of the cervical spine were treated with anterior locking plate systems. The complications were reviewed and analyzed. RESULTS: Ten kinds of complications related to anterior locking plate systems occurred in 21 patients. Most of the complications were caused by improperly-selecting implants, experience and technique deficiency. CONCLUSION: The important preventive or remedial countermeasures are correctly-selecting patients, meticulous preoperative preparation, properly-selecting implants, standard and skillful manipulation and rational postoperative protection.
OBJECTIVE: To summarize the methods and skills of anterior cervical locking plate systems in clinical application and to analyze the causes of some complications as well as give some preventive or remedial countermeasures. METHODS: From 1998 to 2002, 159 patients with cervical spondylotic myelopathy, fracture-dislocation, tumor or tuberculosis of the cervical spine were treated with anterior locking plate systems. The complications were reviewed and analyzed. RESULTS: Ten kinds of complications related to anterior locking plate systems occurred in 21 patients. Most of the complications were caused by improperly-selecting implants, experience and technique deficiency. CONCLUSION: The important preventive or remedial countermeasures are correctly-selecting patients, meticulous preoperative preparation, properly-selecting implants, standard and skillful manipulation and rational postoperative protection.