Author/Authors :
EI-Sayed R, Magdy Zagazig University - Faculty of Medicine - Neurosurgery Department, Egypt , Abdel bari, Tarek H. Zagazig University - Faculty of Medicine - Neurosurgery Department, Egypt , Saad, Adel Zagazig University - Faculty of Medicine - Neurosurgery Department, Egypt , Farahat, Hamdy Zagazig University - Faculty of Medicine - Neurosurgery Department, Egypt , Mohi EI-Din, Mostafa Zagazig University - Faculty of Medicine - Neurosurgery Department, Egypt , AI-Housini, Ahmed Yahia Zagazig University - Faculty of Medicine - Neurosurgery Department, Egypt
Abstract :
The authors have retrospectively analyzed the outcome in 19 consecutive patients (11 males and 8 females, age range = 18-55 years) treated with posterior cervical plates during the period from January 2002 to March 2005. All patients had normal or incomplete neurological deficits. Posterior ligamentous disruption with subluxations was noted in 14 patients (73.7%) where C5-6 was the commonest level. Associated body wedging was in 4 patients (28.6%). Vertebral burst fractures were found in 5 patients (26.3%). One motion segment was stabilized in 6 patients (31.6%) using two hole plates, two motion segments were in 13 patients (68.4%) using three hole plates. Supplemental bone grafting was not used in the majority of cases (63.2%). No significant operative complications was found. Best results were obtained in patients with subluxation or vertebral body compromise of 50% in respect of neurological status, neck pain, solid fusion, correction of kyphotic angle, stability, plate-screw sound and employment scale. Posterior plating was not optimal for patients with vertebral body compromise by wedging or bursting of 50% (p 0.05).
