ORIGINAL ARTICLES   

Journal of Neurosurgical Sciences 2001 December;45(4):202-5

Copyright © 2001 EDIZIONI MINERVA MEDICA

lingua: Inglese

Instrumentation for posterior stabilisation of cervical traumatic and degenerative disorders: bullet-shaped implant and titanium cables

Arslantas A., Cosan E., Durmaz R., Ertilav K., Atasoy M., Tel E.

Department of Neurosurgery, University of Osmangazi, Eskisehir, Turkey

Background. Numerous ­implants for pos­te­ri­or sta­bil­isa­tion of cer­vi­cal ­spine ­have ­been ­described so far. The ­aims of all ­these ­implants and tech­niques are rig­id spi­nal sta­bil­isa­tion with­out neu­ro­log­ic dam­age, res­to­ra­tion of neu­ro­anat­o­my and excel­lent radio­log­i­cal stud­ies in post­op­er­a­tive peri­od. The objec­tive of ­this ­study was to deter­mine the effec­tive­ly and clin­i­cal safe­ty of ­this ­system.
Methods. We con­duct­ed a ret­ro­spec­tive anal­y­sis of ­patients treat­ed ­with pos­te­ri­or sta­bil­isa­tion ­system for the sta­bil­isa­tion of trau­mat­ic and oste­o­deg­er­a­tive dis­or­ders of low­er cer­vi­cal ­spine in our depart­ment. This pos­te­ri­or cer­vi­cal sta­bil­isa­tion ­system con­sist of tita­ni­um bul­let-­shaped ­implant (Ti-Frame) and tita­ni­um ­cables (­sof’ wire).
Results. All ­patients under­went ­only pos­te­ri­or fix­a­tion ­except 2 (ante­ri­or decom­pres­sion and pos­te­ri­or sta­bil­isa­tion in 2 ­stages) and post­op­er­a­tive ear­ly immo­bil­isa­tion was ­allowed ­with Philadelphia col­lar in all ­patients. At the fol­low-up peri­od 15.2 ­months (9-25 ­months), ­none of the ­patients had super­fi­cial or ­deep infec­tion, ­implant resec­tion or fail­ure.
Conclusions. In con­clu­sion, ­this ­system (Ti-­frame and tita­ni­um ­cables) is a sim­ple, ­safe and effec­tive ­system for pos­te­ri­or cer­vi­cal sta­bil­isa­tion in ­patients ­with trau­mat­ic and oste­od­e­gen­er­a­tive dis­or­ders due to pro­vide rig­id fix­a­tion and ­allow CT and MR imag­ing with­out the sig­nif­i­cant arti­fact.