Anterior cervical fixation with the caspar and synthes plating systems

T. Tominaga, K. Koshu, T. Yoshimoto

Research output: Contribution to journalArticlepeer-review


Anterior cervical fixation with screw plate is becoming popular in the management of cervical instability. The Caspar and Synthes (locking plate, Morscher plate) plating systems are currently used must extensively for this purpose. We experienced 22 patients of cervical trauma, cervical spondylosis, and OPLL who underwent anterior decompression, interbody fusion, and anterior fixation with these plating systems. Of 22 patients, seven patients were fixed with the Caspar, and other 15 patients with the Synthes plating system. All patients fused or stabilized with minimum follow up period of one year without neurological deterioration. There was no serious complication relating to the hardwares. Asymptomatic breakage of the Caspar screw occurred in one patient after the completion of hone fusion. Our favorable result and previous reports indicate that anterior plating with interbody fusion may provide reliable stabilization of the cervical spine in a safe and effective manner. In reviewing the literature, the shape and material, operative procedures, biomechanical characteristics, results and complications of these two plating systems are discussed.

Original languageEnglish
Pages (from-to)449-457
Number of pages9
JournalJapanese Journal of Neurosurgery
Issue number5
Publication statusPublished - 1995


  • anterior cervical plate
  • cervical spine
  • instrumentation

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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