Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic...

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Anterior Cervical Fixation: Analysis of Load- Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus, John T. Braun, and Andrew T. Dailey J Bone Joint Surg Am Volume 88(7):1566-1573 July 1, 2006 ©2006 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic...

Page 1: Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus,

Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates

by Darrel S. Brodke, Paul Klimo, Kent N. Bachus, John T. Braun, and Andrew T. Dailey

J Bone Joint Surg AmVolume 88(7):1566-1573

July 1, 2006

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus,

Photograph of a cervical specimen fixed within the spine simulator with a full-length interbody spacer inserted and a translationally dynamic plate spanning C5.

Darrel S. Brodke et al. J Bone Joint Surg Am 2006;88:1566-1573

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus,

The static plate (ATLANTIS system with fixed-angle screws), the rotationally dynamic plate (ATLANTIS system with variable-angle screws), and the translationally dynamic plate (PREMIER).

Darrel S. Brodke et al. J Bone Joint Surg Am 2006;88:1566-1573

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus,

The mean percentage (and standard deviation) of load-sharing for the static anterior plate, rotationally dynamic system, and translationally dynamic system with the full-length grafts and

with the grafts that had simulated subsidence of 10%.

Darrel S. Brodke et al. J Bone Joint Surg Am 2006;88:1566-1573

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus,

The mean range of motion (and standard deviation) after the specimens were loaded in flexion-extension with the static anterior cervical plate, the rotationally dynamic plate, and the

translationally dynamic plate.

Darrel S. Brodke et al. J Bone Joint Surg Am 2006;88:1566-1573

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus,

The mean range of motion (and standard deviation) after the specimens were loaded in lateral bending with the static anterior cervical plate, the rotationally dynamic plate, and the

translationally dynamic plate.

Darrel S. Brodke et al. J Bone Joint Surg Am 2006;88:1566-1573

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Anterior Cervical Fixation: Analysis of Load-Sharing and Stability with Use of Static and Dynamic Plates by Darrel S. Brodke, Paul Klimo, Kent N. Bachus,

The mean range of motion (and standard deviation) after the specimens were loaded in axial rotation with the static anterior cervical plate, the rotationally dynamic plate, and the

translationally dynamic plate.

Darrel S. Brodke et al. J Bone Joint Surg Am 2006;88:1566-1573

©2006 by The Journal of Bone and Joint Surgery, Inc.