Application of anterior cervical plate with titanium mesh or cage in anterior cervical decompression and fusion

ZHU Hong-bing; REN Guo-wen; LEI Zhi-gang; WANG Tao; LI Shuai

doi:10.3969/j.issn.1009-4237.2017.06.012

Abstract：Objective To explore the function and efficacy of anterior cervical plate with titanium mesh or cage in the treatment of cervical spine trauma,cervical spondylosis and other diseases.Methods The clinical data of 47 cases [28 males and 19 females with an average age of 50.2 (22-69) years] from Jun.2008 to Jun.2015 treated by anterior cervical plate with titanium mesh or cage for cervical spine trauma,cervical spondylosis and other diseases was retrospectively analyzed.Among these cases,28 cases were cervical spine trauma,17 cases were cervical myelopathy,9 cases were cervical spondylolisthesis and 2 cases were ossification of the posterior longitudinal ligament.Results All 47 patients were followed up for 10 to 24 months (18 on average).Patients received neural functional recovery to different extent.The JOA scores of preoperative,6 months after the operation and 12 months after the operation were 7.6(3.3-10.9),10.8(7.5-14.9,and 11.2(7.9~15.4),respectively.There were significant differences between preoperatively and postoperatively (P<0.05).The recovery rates at 6 and 12 months after the operation were (57.8±9.7)% and (59.8±9.5)%,respectively,without significant difference (P>0.05).There was no loosening of the internal fixation,the physiological curvature of the cervical vertebrae existed,and no loss of the intervertebral height happened.All patients with bone graft achieved fusion.Conclusion Application of anterior cervical plate with titanium mesh or cage has significant advantages,which can immediately achieve stability after surgery with no demand of external fixation.It significantly improves the fusion rate with simple operation and few complications.