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《Chinese Journal of Reparative and Reconstructive Surgery》 2004-01
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CLINICAL APPLICATION OF ANTERIOR CERVICAL LOCKING PLATE SYSTEMS AND ANALYSIS OF COMPLICATIONS AS WELL AS THEIR COUNTERMEASURES

LI Lei, CUI Shao-qian, WANG Huan, et al. Department of Orthopedic Surgery, No.2 Affiliated Hospital, China Medical University. Shenyang Liaoning, P. R. China 110004  
Objective To summarize the methods and skills of anterior cervical locking plate systems in clinical application and to analyze the causes of some complications as well as give some preventive or remedial countermeasures. Methods From 1998 to 2002, 159 patients with cervical spondylotic myelopathy,fracture-dislocation,tumor or tuberculosis of the cervical spine were treated with anterior locking plate systems. The complications were reviewed and analyzed. Results Ten kinds of complications related to anterior locking plate systems occurred in 21 patients. Most of the complications were caused by improperly-selecting implants, experience and technique deficiency. Conclusion The important preventive or remedial countermeasures are correctly-selecting patients, meticulous preoperative preparation, properly-selecting implants, standard and skillful manipulation and rational postoperative protection.
【Key Words】: Cervical vertebrae Locking plate Internal fixator Complications
【CateGory Index】: R687
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