Abstract:
Objective: To study the efficacy of miniplates fixation to nonplating in regards to prevention of anterior bone graft dislodgment, fusion rate and clinical outcome in patients undergoing one-level anterior cervical discectomy and fusion (ACDF) with autograft. Method We retrospectively reviewed 163 patients who underwent ACDF with titanium miniplates, between 2003 to 2008. Patient`s data was collected from operation room`s record and radiology. Complications were recorded from patient`s notes. Fusion and Position of bone graft was assessed on immediate post operative and 3 months later repeat radiographs in follow up clinic. Minimum follow up was for 3 months. Clinical outcome was assessed on follow up based on Odom`s criteria. Results Out of 163 patients, 78 patients were females and 85 males. Mean age was 52 years (range 22-83). The increase in operation time for holding the bone graft with anterior cervical miniplates, ranged from 5 to 8 minutes. There was only 1 case of bone graft dislodgment (0.61%) due to technical error in positioning of plate. Conclusionsn: In ACDF, to prevent bone graft dislodgment and ensure effective fusion, the routine use of miniplates is economical and rewarding for the patients.
Page(s):
7-10
DOI:
DOI not available
Published:
Journal: Rawal Medical Journal, Volume: 34, Issue: 1, Year: 2009