Caspar W, Barbier D D, Klara P M
Department of Neurosurgery, University of Saarland, Homburg/Saar, West Germany.
Neurosurgery. 1989 Oct;25(4):491-502. doi: 10.1097/00006123-198910000-00001.
A technique for anterior cervical iliac graft fusion with standardized, commercially available screw and plate fixation (Caspar plating) has been developed. The step-by-step procedure, as well as the instruments designed to facilitate the procedure, are described in this report. Sixty cases of cervical trauma (fractures, subluxations, ligamentous instability, or a combination of these problems) were treated with Caspar plating. All patients obtained fusion, and stability was achieved immediately after surgery without external stabilization. No unusual surgical complications occurred, and the most dreaded complication of dural penetration by drilling or screw placement was not observed. This report details the neurological presentation, anatomical lesions, surgical therapy, and outcome of these patients. Caspar plating combines the advantage of an anterior surgical approach with immediate postoperative stabilization without external stabilization. This advantage persists even in the presence of posterior ligamentous instability. The technique is an important addition to the surgical treatment of cervical trauma.
一种采用标准化的市售螺钉和钢板固定（卡斯帕钢板固定）进行颈椎前路髂骨移植融合的技术已经研发出来。本报告描述了该分步操作过程以及为便于该操作而设计的器械。60例颈椎创伤（骨折、半脱位、韧带不稳或这些问题的组合）患者接受了卡斯帕钢板固定治疗。所有患者均实现融合，术后立即获得稳定，无需外部固定。未发生异常手术并发症，也未观察到钻孔或螺钉置入导致的最可怕并发症——硬膜穿透。本报告详细介绍了这些患者的神经学表现、解剖学损伤、手术治疗及结果。卡斯帕钢板固定结合了前路手术入路的优势以及术后无需外部固定即可立即实现稳定的优点。即使存在后韧带不稳，这一优势依然存在。该技术是颈椎创伤手术治疗的一项重要补充。
