PMID- 37519557
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230801
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 6
DP  - 2023 Jun
TI  - The Effect of Plate Thickness on Fusion, Complications, and Outcomes in Anterior 
      Cervical Spine Surgery.
PG  - e41048
LID - 10.7759/cureus.41048 [doi]
LID - e41048
AB  - Background and objective Anterior cervical discectomy and fusion (ACDF) is a 
      common surgery involving the cervical spine. The goals of ACDF include obtaining 
      a solid fusion and minimizing complications such as dysphagia. The effect of 
      plate thickness on fusion, dysphagia, and patient outcomes is not well 
      established. In light of this, this study aimed to evaluate the effect of plate 
      thickness on fusion rates, complications, and outcomes in ACDF. Methods A 
      case-control study involving ACDF performed by a single surgeon was conducted 
      with the aim of comparing two commercially available plating systems: the 
      Medtronic plate (Atlantis Vision Elite, Medtronic, Memphis, TN) and Aegis plate 
      (CastleLoc-P, Aegis, Englewood, CO). The patients treated with the Medtronic 
      plate served as the control group (Std) as the plate is widely utilized, while 
      those treated with the Aegis plate, which is touted as one of the thinnest plates 
      on the market, constituted the case low-profile group (LP). Demographic 
      variables, fusion status, and patient-reported outcome measures (PROM) were 
      compared between the two systems. Results Baseline demographic data were not 
      significantly different between groups. The LP plate group had a significantly 
      lower rate of fusion per patient as well as per level at 12 months. PROM did not 
      significantly differ at any time point between the groups. Dysphagia scores could 
      be correlated with radiographic measures reported in the Prevertebral Soft Tissue 
      Swelling - Index (PVSTS-I).  Conclusion Based on our findings, the plate 
      thickness was not associated with dysphagia rates; however, the use of a thinner 
      plate correlated with a lower rate of radiographic fusion at 12 months. The 
      PVSTS-I may be useful for identifying patients with abnormal and severely 
      abnormal dysphagia scores.
CI  - Copyright (c) 2023, Park et al.
FAU - Park, Daniel
AU  - Park D
AD  - Orthopaedic Surgery, Beaumont Health, Royal Oak, USA.
FAU - Arveschoug, Anthony
AU  - Arveschoug A
AD  - Orthopaedic Surgery, Beaumont Health, Royal Oak, USA.
FAU - Wahlmeier, Steve
AU  - Wahlmeier S
AD  - Orthopaedic Surgery, Beaumont Health, Royal Oak, USA.
FAU - Petersen-Fitts, Graysen
AU  - Petersen-Fitts G
AD  - Orthopaedic Surgery, Beaumont Health, Royal Oak, USA.
FAU - Zakko, Phil
AU  - Zakko P
AD  - Orthopaedic Surgery, Beaumont Health, Royal Oak, USA.
LA  - eng
PT  - Journal Article
DEP - 20230627
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10374268
OTO - NOTNLM
OT  - anterior cervical discectomy and fusion
OT  - dysphagia
OT  - fusion rates
OT  - plate thickness
OT  - prevertebral soft tissue swelling
COIS- The authors have declared financial relationships, which are detailed in the next 
      section.
EDAT- 2023/07/31 06:42
MHDA- 2023/07/31 06:43
PMCR- 2023/06/27
CRDT- 2023/07/31 04:38
PHST- 2023/06/20 00:00 [accepted]
PHST- 2023/07/31 06:43 [medline]
PHST- 2023/07/31 06:42 [pubmed]
PHST- 2023/07/31 04:38 [entrez]
PHST- 2023/06/27 00:00 [pmc-release]
AID - 10.7759/cureus.41048 [doi]
PST - epublish
SO  - Cureus. 2023 Jun 27;15(6):e41048. doi: 10.7759/cureus.41048. eCollection 2023 
      Jun.