| 篇名 |
Titanium cage fusion for reconstruction of unstable anterior cervical fractures |
| 作者 |
Chung-Nan Lin, Yu-Chuan Wu, Nai-Phon Wang |
| 卷期/出版年月 |
35卷4期 (2002/8) |
| 頁次 |
173-181 |
| 摘要 |
This is a preliminary result assessment study using a titanium cage instead of autogenous bone fusion to reconstruct anterior traumatic cervical spine fractures. Fourteen consecutive anterior cervical (fracture-subluxation) patients, 9 males and 5 females with ages ranging 18 to 77 years (mean 51 years), ubderwent an anterior cervical discectomy or corpectomy, interbody fusion using a vigorTM Disc Spacer (titanium cage). Twelve had and 2 did not have an anterior cervical plate and screw (ACPS) fixed at different levels varying from C2 to C7. Post operative radiological assessment of cervical spine alignment and stability rate was 100%. The hardware complication rate was 0%. Neck pain improved immediately in 90% (9/10) of the cases after surgery. Seventy-eight percent (7/9) of the patietns initially lost their radicular symptoms, and those with myelopathy had subjective motor improvement of 40% (4/10) after surgery. The successful neurological as well as radiographic results suggest that cage fusion is technically feasible. With use of this device one can provide an immediate strong and stable anterior column support for traumatic deformities and remarkably decrease or eliminate donor site morbidity caused by traditional iliac crest bone graft. Therefore, it may also reduce the average procedural time and allow for a quicker recovery. The specific cage structure promotes bone fusion between the vertabrae adjacent to the cage by allowing bone growth through the cages and reestablishing and maintaining the intervertebral space. With concomitant use of ACPS, the cervical titanium cage for interbody fusion offers an effective and less complicated way to manage anterior cervical spinal fractures. |
| 關鍵詞 |
Titanium cage, ahterior fusion, cervical spine trauma |
| 分類 |
Original Article |
