Four year experience with the AO Anterior Thoracolumbar Locking Plate
| Autor: | M B Kabins, K. Fritts, J. S. Thalgott, M. Timlin, J. M. Giuffre |
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| Rok vydání: | 1997 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty medicine.medical_treatment Bone Screws Spinal Cord Diseases Locking plate Fixation (surgical) medicine Internal fixation Humans Corpectomy Spinal Cord Injuries Aged Aged 80 and over Osteosynthesis Bone Transplantation business.industry General Medicine Middle Aged Spinal column Sagittal plane Surgery medicine.anatomical_structure Neurology Female Neurology (clinical) Implant business Tomography X-Ray Computed Bone Plates Follow-Up Studies |
| Zdroj: | Spinal cord. 35(5) |
| ISSN: | 1362-4393 |
| Popis: | For decades spinal surgeons have attempted to design simple, single stage anterior internal fixation systems for the thoracic and lumbar spine. Early devices presented both biomechanical and technical problems. The AO Anterior Thoracolumbar Locking Plate (ATLP) was designed to solve some of the problems encountered with early anterior instrumentation. The ATLP system is constructed in Commercially Pure titanium. It is a low profile device indicated for use for unstable burst fractures in the anterior column; metastatic tumor management; and degenerative diseases of the thoracolumbar spine between levels T10 and L5. Implantation of the device involves direct anterior decompression with sagittal reduction and corpectomy. This is followed by grafting reconstruction, and plate fixation. This device has been implanted in 25 patients with an average follow-up of 38 months. There were five (5) broken screws in three (3) patients, and no broken plates. Implant related postoperative complications included two misplaced screws. Preliminary results indicate that the ATLP system seems to be a safe, low profile, MRI/CT compatible device that provides definitive single stage fixation of the anterior spinal column. |
| Databáze: | OpenAIRE |
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