Arslantas A, Cosan E, Durmaz R, Ert Lav K, Atasoy M, Tel E
Department of Neurosurgery, University of Osmangazi, Eskisehir, Turkey.
J Neurosurg Sci. 2001 Dec;45(4):202-4; discussion 204-5.
Numerous implants for posterior stabilisation of cervical spine have been described so far. The aims of all these implants and techniques are rigid spinal stabilisation without neurologic damage, restoration of neuroanatomy and excellent radiological studies in postoperative period. The objective of this study was to determine the effectively and clinical safety of this system.
We conducted a retrospective analysis of patients treated with posterior stabilisation system for the stabilisation of traumatic and osteodegerative disorders of lower cervical spine in our department. This posterior cervical stabilisation system consist of titanium bullet-shaped implant (Ti-Frame) and titanium cables (sof' wire).
All patients underwent only posterior fixation except 2 (anterior decompression and posterior stabilisation in 2 stages) and postoperative early immobilisation was allowed with Philadelphia collar in all patients. At the follow-up period 15.2 months (9-25 months), none of the patients had superficial or deep infection, implant resection or failure.
In conclusion, this system (Ti-frame and titanium cables) is a simple, safe and effective system for posterior cervical stabilisation in patients with traumatic and osteodegenerative disorders due to provide rigid fixation and allow CT and MR imaging without the significant artifact.
迄今为止，已描述了多种用于颈椎后路稳定的植入物。所有这些植入物和技术的目的都是实现脊柱的牢固稳定，同时避免神经损伤，恢复神经解剖结构，并在术后获得出色的影像学检查结果。本研究的目的是确定该系统的有效性和临床安全性。
我们对在我科接受后路稳定系统治疗下颈椎创伤性和骨退行性疾病的患者进行了回顾性分析。这种颈椎后路稳定系统由钛制子弹形植入物（Ti-Frame）和钛缆（sof' wire）组成。
除2例患者（分两阶段进行前路减压和后路稳定）外，所有患者均仅接受了后路固定，并且所有患者术后均使用费城颈托进行早期固定。在15.2个月（9 - 25个月）的随访期内，没有患者发生浅表或深部感染、植入物切除或失败。
总之，该系统（Ti-frame和钛缆）是一种用于创伤性和骨退行性疾病患者颈椎后路稳定的简单、安全且有效的系统，因为它能提供牢固的固定，并允许进行CT和MR成像且无明显伪影。
