Fransen Patrick
Department of Neurosurgery, Clinique du Parc Léopold, Brussels, Belgium.
Acta Orthop Belg. 2010 Aug;76(4):546-8.
The author presents a simplified technique for midline screw-plate fixation in fusion procedures after anterior cervical discectomy, in which the plate is introduced over the Caspar distractor pins. The Uniplate system used, with a single screw in each vertebral body, minimizes bone damage to the vertebral body as the screws can be fixed in the holes previously used for the Caspar distractor pins. This simplified version of the classical anterior cervical fusion technique saves surgical time, facilitates screw insertion, and obviates the need for manipulations to stabilize the plate before the screws are inserted. It provides immediate stability comparable to other plate systems. To the author's knowledge, this is the first report on cervical fusion with the Uniplate system with the plate being introduced over the Caspar distractor pins.
作者介绍了一种简化技术，用于颈椎前路椎间盘切除术后融合手术中的中线螺钉钢板固定，即通过卡斯帕撑开器销钉置入钢板。所使用的单钢板系统在每个椎体上仅用一枚螺钉，由于螺钉可固定在先前用于卡斯帕撑开器销钉的孔中，从而将对椎体的骨损伤降至最低。这种经典颈椎前路融合技术的简化版本节省了手术时间，便于螺钉置入，并且无需在插入螺钉前对钢板进行稳定操作。它提供了与其他钢板系统相当的即时稳定性。据作者所知，这是关于通过卡斯帕撑开器销钉置入单钢板系统进行颈椎融合的首次报告。
