Summary
We reviewed 106 consecutive patients who had undergone anterior cervical fusion with the Caspar instrumentation system between 1984 and 1989. Preoperative diagnoses were cervical spondylosis in 73 patients, a traumatic lesion in 12, ossification of the posterior longitudinal ligament in 9, cervical disc herniation in 6, and tumour or miscellaneous lesions in 6. In the 106 patients, 56 had two levels fused and 27 had three levels fused. At an average duration of follow-up of 4 years and 7 months, nonunion occurred in 3 of the 83 patients with multiple level fusions. Screw loosening occurred in 8 of the 106 patients, but there was no oesophageal perforation.
Résumé
Nous avons examiné 106 patients ayant bénéficié, entre 1984 et 1989, d'une arthrodèse cervicale antérieure à l'aide de l'instrumentation de Caspar. Le diagnostic pré-opératoire était une spondylose cervicale chez 73 patients, une lésion traumatique chez 12, l'ossification du ligament longitudinal postérieur chez 9, une hernie discale cervicale chez 6 et une tumeur ou une autre lésion chez les 6 autres. Parmi ces 106 patients, 56 ont été arthrodésés sur 2 niveaux et 27 sur 3 niveaux. Avec un recul moyen de 4 ans 7 mois, trois absences de consolidation ont été observées parmi les 83 patients ayant eu une arthrodése sur plusieurs niveaux. Un desserrage des vis est survenu chez 8 des 106 patients, il n'y eu pas de perforation oesophagienne.
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Read in part at the 18th World Congress of Societe Internationale de Chirurgie et de Traumatologie (SICOT), Montreal, Canada, September 11, 1990.
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Naito, M., Kurose, S., Oyama, M. et al. Anterior cervical fusion with the Caspar instrumentation system. International Orthopaedics 17, 73–76 (1993). https://doi.org/10.1007/BF00183545
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DOI: https://doi.org/10.1007/BF00183545