Johnston F G, Crockard H A
Department of Surgical Neurology, National Hospital for Neurology and Neurosurgery, London, England.
J Neurosurg. 1995 Feb;82(2):234-8. doi: 10.3171/jns.1995.82.2.0234.
The authors describe their experience with the Morscher titanium cervical plate with cancellous locking screws in the management of complex cervical spine disorders. Fifty patients (32 males and 18 females) with a mean age of 54 years (range 10 to 84 years) underwent anterior spinal fixation that extended two to five vertebral bodies, using a titanium cervical plate and autogenous bone graft. Surgeries were performed for a variety of reasons: one for a congenital lesion, five for spinal neoplasms, nine for trauma, and 35 for degenerative arthritides. Ten patients had symptomatic kyphoses due to previous laminectomy, failed anterior surgery, or trauma. Satisfactory fixation and fusion with no neurological deterioration was obtained in all but two cases. Specific complications included six cases of dysphagia, one of sepsis, one of Horner's syndrome, and one case in which the patient had a fatal myocardial infarction the night after surgery. At the end of the follow-up period, fusion was found to have occurred in all remaining cases with no outstanding implant-related problems.
作者描述了他们使用莫舍尔带松质骨锁定螺钉的钛制颈椎前路钢板治疗复杂颈椎疾病的经验。50例患者（32例男性和18例女性），平均年龄54岁（年龄范围10至84岁），接受了前路脊柱固定手术，固定范围为2至5个椎体，使用了钛制颈椎前路钢板和自体骨移植。手术的进行有多种原因：1例为先天性病变，5例为脊柱肿瘤，9例为创伤，35例为退行性关节炎。10例患者因既往椎板切除术、前路手术失败或创伤而出现症状性后凸畸形。除2例病例外，其余所有病例均获得了满意的固定和融合，且无神经功能恶化。具体并发症包括6例吞咽困难、1例脓毒症、1例霍纳综合征，还有1例患者在术后当晚发生致命性心肌梗死。在随访期末，发现其余所有病例均已融合，且无明显的植入物相关问题。
