Resnick Daniel K, Trost Gregory R
Department of Neurological Surgery, University of Wisconsin, School of Medicine, Madison, Wisconsin 53792, USA.
Neurosurgery. 2007 Jan;60(1 Supp1 1):S112-7. doi: 10.1227/01.NEU.0000215350.95209.CA.
Ventral cervical plates are used to increase the immediate postoperative rigidity of the spine after decompressive and reconstructive procedures. The evidence supporting this practice is reviewed.
A computerized literature search of the database of the National Library of Medicine was conducted using PubMed. All relevant articles were reviewed and a critique was performed to explore the utility of ventral cervical plating.
Several randomized controlled trials of ventral cervical discectomy versus ventral cervical discectomy and fusion were identified. Three randomized controlled trials that included a differentiation between anterior cervical decompression and fusion, with and without plating, were identified. Many retrospective series, technical reports, and topical reviews were also identified.
There is little support in the literature for the medical usefulness of ventral cervical plates after single-level cervical fusion. There may, however, be a cost-benefit advantage to the use of such devices. In multilevel procedures and in the setting of traumatic instability, there seems to be an advantage to the use of cervical plates.
颈椎前路钢板用于在减压和重建手术后增加脊柱术后即刻的稳定性。本文对支持这一做法的证据进行综述。
使用PubMed对美国国立医学图书馆数据库进行计算机文献检索。对所有相关文章进行综述，并进行批判性分析以探讨颈椎前路钢板固定的效用。
确定了几项关于颈椎前路椎间盘切除术与颈椎前路椎间盘切除融合术的随机对照试验。确定了三项随机对照试验，其中包括对颈椎前路减压融合术（有或无钢板固定）的区分。还确定了许多回顾性系列研究、技术报告和专题综述。
文献中对单节段颈椎融合术后颈椎前路钢板的医学实用性支持较少。然而，使用此类器械可能存在成本效益优势。在多节段手术和创伤性不稳定的情况下，使用颈椎前路钢板似乎具有优势。
