Dynamic cervical plates in the cervical spine surgery (literature review)

Oleksandr Barysh, Stanislav Kozyryev

Abstract


In cases of ventral stabilization of the cervical spine for anterior cervical interbody fusion (ACIF) they use rigid and dynamic cervical plates (СP). Recent experimental studies testify that dynamic CP are more effective comparing to rigid ones due to better load sharing between implants and interbody support which  theoretically improves interbody fusion and minimizes the amount of complications associated with the implants. According to various authors amount of complications while using dynamic CP for ACIF is 2-22.6%.

Purpose: to analyze results of the experimental studies and clinical application of the dynamic CP of different design according to scientific literature.

Methods: for the systematization of materials on using of dynamic CP in the cervical spine surgery we analyzed specialized domestic and foreign literature. Predominantly we had to use predominantly English-language literature, because Russian-language articles contain data on using just rigid plates whereas information about dynamic CP is practically absent.

Results: After analysis of scientific literature we explored history of development of dynamic CP, biomechanical features of ACIF with dynamic CP, concepts of subsidence of interbody support into the vertebral bodies, load sharing and stress shielding between interbody support and implants, results of experimental studies of the properties and clinical application of dynamic CP. Known classification of the cervical plates for ACIF was improved and expanded.

Conclusions: Dynamic CP theoretically have got some advantages over previous generations of the cervical plates particularly in load sharing between interbody support, plate and screws confirmed by experimental studies. Application of dynamic CP allows achieving positive outcomes and better fusion signs comparing to rigid CP. However, there is likelihood that in cases of ACIF with dynamic CP in the process of subsidence some undesirable changes of segmental sagittal cervical contour and foraminal stenosis may occur. In some cases amount of pseudoartrosis and screw loosening may increase. Balance of dynamism and rigidity of fixation in abnormally changed cervical functional spinal units studied insufficiently and this requires further research.


Keywords


cervical spine; anterior interbody fusion; dynamic cervical plate; vertical cylindrical mesh implants; complications

References


Moftakhar R. Anterior cervical plates: a historical perspective / R. Moftakhar, G. R. Trost // Neurosurg. Focus. — 2004. — Vol. 16, № 1. — P. 1–5.

Rhee J. M. Dynamic anterior cervical plates / J. M. Rhee, K. D. Riew // J. Am. Acad. Orthop. Surg. — 2007. — Vol. 15. — P. 640–646.

Dynamic cervical plates: biomechanical evaluation of load sharing and stiffness / D. S. Brodke, S. Gollogly, A. R. Mohr [et al.] // Spine. — 2001. — Vol. 26. — P. 1324–1329.

Anterior cervical fixation: analysis of load-sharing and stability with use of static and dynamic plates / D. S. Brodke, P. Jr. Klimo, K. N. Bachus [et al.] // J. Bone Joint Surg. — 2006. — Vol. 88-A, № 7. — P. 1566–1573.

Anterior cervical plate fixation: a biomechanical study to evaluate the effects of plate design, endplate preparation, and bone mineral density / M. F. Dvorak, T. Pitzen, Q. Zhu [et al.] // Spine. — 2005. — Vol. 30, № 3. — P. 294–301.

In vitro evaluation of stiffness and load sharing in a two-level corpectomy: comparison of static and dynamiс cervical plates / G. R. Fogel, Z. Li, W. Liu [et al.] // Spine J. — 2010. — Vol. 10, № 5. — P. 417–421.

Cervical spine loading characteristics in a cadaveric C5 corpectomy model using a static and dynamic plate / D. Reidy, J. Finkelstein, A. Nagpurkar [et al.] // J. Spinal. Disord. Tech. — 2004. — Vol. 17. — P. 117–122.

Balabhadra R. S. Anterior cervical fusion using densecancellous allografts and dynamic plating / R. S. Balabhadra, D. H. Kim, H. Y. Zhang // Neurosurg. — 2004. — Vol. 54. — P. 1405–1411.

Epstein N. E. Efficacy and outcomes of dynamic-plated single-level anterior diskectomy/fusion with additional analysis of comparative costs / N. E. Epstein // Surg. Neurol. Int. — 2011. — Vol. 2. — P. 2–9.

Epstein N. E. Documenting fusion following anterior cervical surgery: a comparison of roentgenogram versus two-dimensional computed tomographic findings / N. E. Epstein, R. S. Silvergleide // J. Spinal Disord. Tech. — 2003. — Vol. 16, № 3. — Р. 243–247.

Choice of plate may affect outcomes for single versus multilevel ACDF: results of a prospective randomized single-blind trial / P. D. Nunley, A. Jawahar, E. J. Kerr [et al.] // Spine J. — 2009. — Vol. 9, № 2. — P. 121–127.

A сomparison of fixed-hole and slotted-hole dynamic plates for anterior cervical discectomy and fusion / S. W. Hong, S. H. Lee, L. T. Khooet [et al.] // J. Spinal Disorders Techn. — 2010. — Vol. 23, № 1. — P. 22–26.

Khoo L. Anterior plating for cervical traumatic fractures: an analysis of graft height and segmental lordosis preservation [Електронний ресурс] / L. Khoo, J. Benae, T. Gravori // Internet J. Spine Surgery. — 2004. — Vol. 1, № 2. — Режим доступу до журналу: http://ispub.com/IJSS/1/2/6208.

Implant complications, fusion, loss of lordosis, and outcome after anterior cervical plating with dynamic or rigid plates: two-year results of a multi-centric, randomized, controlled study / T. R. Pitzen, J. Chrobok, J. Stulik [et al.] // Spine. — 2009. — Vol. 34, № 7. — P. 641–646.

Stress-shielding compared with load sharing anterior plate fixation: a clinical and radiographic prospective analysis of 50 patients / P. S. Saphier, M. S. Arginteanu, F. M. Moore [et al.] // J. Neurosurg. Spine. — 2007. — Vol. 6. — P. 391–397.

Fusion and failure following anterior cervical plating with dynamic or rigid plates : 6 months results of a multicentric, prospective, randomized, controlled study / J. Stulik, T. R. Pitzen, J. Chrobok [et al.] // Eur. Spine J. — 2007. — Vol. 16. — P. 1689–1694.

Bullard D. E. Three-level anterior cervical discectomy and fusion with plate fixation: radiographic results of 127 patients [Електронний ресурс] / D. E. Bullard, J. J. Souza // Internet J. Neurosurg. — 2009. — Vol. 6, № 1. — Режим доступу до журналу: http://ispub.com/IJNS/6/1/5200.

Static versus dynamic plating for multilevel anterio rcervical discectomy and fusion / C. M. DuBois, P. M. Bolt, A. G. Todd [et al.] // Spine J. — 2007. — Vol. 7, № 2. — P. 188–193.

Ghahreman A. Dynamic plates in anterior cervical fusion surgery: graft settling and cervical alignment / A. Ghahreman, P. J. Rao, R. D. Ferch // Spine. — 2009. — Vol. 34, № 15. — Р. 1567–1571.

Risk factors for early reconstruction failure of multilevel cervical corpectomy with dynamic plate fixation / A. Okawa, K. Sakai, T. Hirai [et al.] // Spine. — 2011. — Vol. 36, № 9. — P. 582–587.

Park J. B. Development of adjacent-level ossification in patients with an anterior cervical plate / J. B. Park, Y. S. Cho, K. D. Riew // J. Bone Joint Surg. — 2005. — Vol. 87-А. — P. 558–563.

Indications and techniques for anterior cervical plating / J. M. Rhee, J. B. Park, J.-Y. Yang, K. D. Riew // Neurol. India. — 2005. — Vol. 53, № 4. — P. 433–439.

Preliminary surgical result of cervical spine reconstruction with a dynamic plate and titanium mesh cage / D. Y. Chung, D. Ch. Cho, S. H. Lee, J. K. Sung // J. Korean Neurosurg. Soc. — 2007. — Vol. 41. — Р. 111–117.

Complications in spine surgery / R. Nasser, Y. Sanjay, M. G. Maltenfort [et al.] // J. Neurosurg. Spine. — 2010. — Vol. 13. — P. 144–157.

Experience of surgical treatment of injuries of middle and lover cervical spine while diving/ I. P. Ardashev, V. R. Gatin, E. I. Ardasheva [et al.] // Traumatology and orthopedics of Russia. – 2012. – Vol. 3. – P. 35–40.

Barysh A. E. Current principles of stabilizing operations for surgical treatment of cervical spine diseases and injuries (experimental-clinical study): Postdoctoral thesis: 14.01.21 / Barysh Alexander Evgenjevich. – Kharkiv, 2010. – 362 p.

Bersenyev V. P. Results of treatment of compressive syndroms of cervical spine / V. P. Bersenyev, V. M. Dragun // Traumatology and orthopedics of Russia. – 2008. – Vol. 3. – P. 76–77.

New in spine surgery / K. H. Bridwell, P. A. Anderson, S. D. Boden [et al.] // Journal Hirurgia Pozvonochnika. – 2009. – Vol. 4. – P. 91–107.

Decompressive-stabilizing operations at vertebral and spinal cord trauma / L. A. Bublik, S. A. Stegniy, I. G. Gohfeld [et al.[ // Ukrainian neurosurgical journal. – 2006. – Vol. 1. – P. 65.

Vetrile S. T. Surgical treatment of cervical spine injuries using primary stable fixation with metal constructions / S. T. Vetrile, A. I. Curopatkin, S. V. Jundin // Journal Hirurgia Pozvonochnika. – 2006. – Vol. 3. – P. 8–18.

Voronovich I. R. The state of surgical vertebrology in Belorussia / I. R. Voronovich // Journal Hirurgia Pozvonochnika. – 2004. – Vol. 1. – P. 33–38.

Algorithms of diagnostics and treatment of patients with concomitant vertebral and spinal cord trauma / A. A. Grin, M. A. Nekrasov, A. K. Kajkov [et al.] // Journal Hirurgia Pozvonochnika. – 2011. – Vol. 4. – P. 18–26.

Dragun V. M. Surgical treatment of traumatic injuries of middle and lover cervical spine vertebras / V. M. Dragun // Traumatology and orthopedics of Russia. – 2008. – Vol. 3. – P. 82-83.

Ershov N. I. Surgical treatment of patients with injuries of spine and spinal cord by data of City hospital of Bryansk №1 / N. I. Ershov, V. D. Usikov, V. S. Kuftov // Traumatology and orthopedics of Russia. – 2007. – Vol. 1. – P. 12–15.

Role of stable – functional osteosyntesis of vertebral fractures in complex treatment of polytrauma patients / E. T. Zunusov, A. B. Sultangereev, N. T. Estesmesov [et al.] // Traumatology zene orthopedics. – 2011. – Vol. 2. – P. 56–59.

New technology of anterior interbody fixation of cervical vertebrae with plates / N. A. Korzh, A. E. Barysh, G. Kh. Gruntovskij, V. V. Lukjanchenko // Trauma. – 2004. – Vol. 5, № 3. – P. 250–252.

Krylov V. V. Treatment of patients with complicated and non complicated spine injuries in concominant trauma / V. V. Krylov, A. A. Grin, U. S. Ioffe [et al.] // Journal Hirurgia Pozvonochnika. – 2005 – Vol. 4. – P. 8–14.

Matveev A. N. Combined anterior fusion in treatment of cervical spine trauma / A. N. Matveev, D. L. Gluhih // Journal Hirurgia Pozvonochnika. – 2006. – Vol. 3. – P. 24–28.

Mushkin A. U. Biomechanics of normal spine and at pathological state: primary aspects of research / A. U. Mushkin, E. V. Ulrich, I. V. Zuev // Journal Hirurgia Pozvonochnika. – 2009 . – Vol. 4. – P. 53–61.

Treatment of cervical spine fracture at Bechterev disease / I. A. Norkin, A. A. Chechonatskij, V. G. Ninel, V. V. Ostrovskij // Journal Hirurgia Pozvonochnika. – 2007. – Vol. 2. – P. 23–25.

Ramich E. A. Trauma of lower cervical spine: diagnostics, classification, treatment / E. A. Ramich // Journal Hirurgia Pozvonochnika. – 2005. – Vol. 3. – P. 8–24.

Ramich E. A. Evolution of spine injury surgery in complex reductive treatment / E. A. Ramich // Journal Hirurgia Pozvonochnika. – 2001. – Vol. 4. – P. 85–92.

Rerich V. V. Surgical treatment of lower cervical spine injuries / V. V. Rerich, A. D. Lastevskij // Journal Hirurgia Pozvonochnika. – 2007. – Vol. 1. – P. 13–20.

Shvets A. I. Anterior decompression in cervical spine channel stenosis / A. I. Shvets, V. K. Ivchenko // Trauma. – 2010. – Vol. 2. – P. 161–166.

Gonugunta V. Anterior cervical plating / V. Gonugunta, A. A. Krishnaney, E. C. Benzel // Neurol. India. — 2005. — Vol. 53, № 4. — P. 424–432.

The сervical spine study group anterior cervical plate nomenclature / R. W. Haid, K. T. Foley, G. E. Rodts, B. Barnes // Neurosurg. Focus. — 2002. — Vol. 12, № 1. — Р. 1–6.

Steinmetz M. P. Axially dynamic implants for stabilization of the cervical spine / M. P. Steinmetz, E. C. Benzel, R. I. Apfelbaum // Operat. Neurosurg. — 2006. — Vol. 59, № 4. — P. 378–388.

Bolesta M. J. Three- and four-level anterior cervical discectomy and fusion with plate fixation: a prospective study / M. J. Bolesta, G. R. Rechtine, A. M. Chrin // Spine. — 2000. — Vol. 25, № 16. — P. 2040–2044.

Anterior cervical interbody fusion using autogeneic and allogeneic bonegraft substrate: a prospective comparative analysis / R. C. Bishop, K. A. Moore, A. Weidneret [et al.] // J. Neurosurg. — 1996. — Vol. 85, № 2. — P. 206–210.

Eun J.-P. Biomechanical evaluation of the pullout strength of the dynamic osteosynthesis construct (DOC) anterior cervical plating system: a comparison between the screw angulations to consider the concept of triangulation / J.-P. Eun // J. Korean Neurosurg. Soc. — 2004. — Vol. 36. — P. 32–58.

Short-term comparison of cervical fusion with static and dynamic plating using computerized motion analysis / G. Goldberg, T. J. Albert, A. R. Vaccaro [et al.] // Spine. — 2007. — Vol. 32. — P. 371–375.

Dynamic cervical plate versus static cervical plate in the anterior cervical discectomy and fusion: a systematic review / H. Li, J. Min, Q. Zhang [et al.] // Eur. J. Orthop. Surg. Traumatol. — 2013. — Vol. 23, Suppl. 1. — P. 41–46.

Axial vs angular dynamization of anterior сervical fusion implants / M. Stancic, P. Margetic, E. Elabjer, M. Milosevic // Coll. Antropol. — 2008. — Vol. 32. — Р. 221–229.

Epstein N. E. Fixed vs dynamic plate complications following multilevel anterior cervical corpectomy and fusion with posterior stabilization / N. E. Epstein // Spinal Cord. — 2003. — Vol. 41. — Р. 379–384.

Dynamic anterior cervical plating for multi-level spondylosis: Does it help? / A. A. Ragab, F. S. Hodges, C. P. Hill [et al.] // Evid. Based Spine Care J. — 2010. — Vol. 1, № 1. — P. 41–46.

Radiographic сomparison of four anterior fusion methods in two level cervical disc diseases : autograft plate fixation versus cage plate fixation versus stand-alone cage fusion versus corpectomy and plate fixation // M. K. Kim, S. M. Kim, K. M. Jeon, T. S. Kim // J. Korean Neurosurg. Soc. — 2012. — Vol. 51. — P. 35–140.

Expandable cage for cervical spine reconstruction / H. Y. Zhang, I. Thongtrangan, H. Le [et al.] // J. Korean Neurosurg. Soc. — 2005. — Vol. 38. — P. 435–441.




DOI: https://doi.org/10.15674/0030-598720141127-136

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