Over a 4-year period [From Mars 2000 and Mars 2004], 60 patients with cervical spondylotic myelopathy were treated surgically with a one or two-level anterior cervical discectomy and fusion.
Six patients had cervical plates, whereas 24 had fusions with no plates. The follow up period ranged from 16 to 40 months with an average 24 months. Clinical and radiographic follow up data were obtained. The pseudarthrosis rates were 4% for patients with plating and 12% for patients with no plating. There was no statistically significant correlation between pseudarthrosis and gender, age or level of surgery. The plating procedure resulted in preserving the overall lordosis. Accelerated degenerative changes at the levels adjacent to fusion were seen in 12% of patients with plating compared to 9% in patients without plating. According to Odom, s criteria the overall result was excellent to good in 95% of patients with plating compared to 75% in patients without plating. We concluded that the addition of plate fixation for one and two-level anterior cervical discectomy and fusion is a safe procedure and does not result in higher complication rates. The use of plate fixation successfully maintains cervical spine alignment. Patients treated with cervical plating had overall better results when compared with those of patients treated without cervical plates
Mohamed Alam Edin ,Hesham Hamed ,Mohamed El shafee ,
Anterior cervical discectomy for one-and two-level cervical disc disease: the effect of anterior plating,
Pan Arab J. Orthop. Trauma. 2006;
128-134 Views : 0