Mestdagh H
Orthopade. 1987 Feb;16(1):70-80.
The author reports of 130 anterior intercorporeal fusions in unstable and/or displaced injuries of the inferior cervical spine (C2-7). Reduction was achieved preoperatively by progressive skull traction in four-fifths of the cases and in the remainder by gentle manual mobilization just before surgery. As a whole, flexion/extension and rotation were found to be reduced by one-fourth despite compensatory mobility below and above the graft; fusions were well tolerated if only one intervertebral space at the lower cervical spine was involved. Robinsons technique, together with anterior plate fixation, yields immediate stabilization, avoids graft migration and redisplacement of the spine, and provides the best functional outcome.
作者报告了130例下颈椎（C2 - 7）不稳定和/或移位损伤的前路椎体间融合术。五分之四的病例术前通过渐进性颅骨牵引实现复位，其余病例在手术前通过轻柔的手动活动实现复位。总体而言，尽管植骨上下存在代偿性活动，但发现屈伸和旋转活动减少了四分之一；如果仅涉及下颈椎的一个椎间隙，则融合耐受性良好。罗宾逊技术与前路钢板固定相结合，可实现即刻稳定，避免植骨移位和脊柱再移位，并提供最佳的功能结果。
