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Related Experiment Video

Updated: May 12, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Dynamic anterior cervical plating for multi-level spondylosis: Does it help?

Ashraf A Ragab1, F Spain Hodges, Clint P Hill

  • 1University of Mississippi Medical Center, Jackson, MS, USA.

Evidence-Based Spine-Care Journal
|April 2, 2013
PubMed
Summary

Static cervical plates offer no clinical advantage over dynamic plates for fusion rates, time to fusion, or subsidence in anterior cervical discectomy and fusion surgery. Both static and dynamic plating allow for similar levels of subsidence.

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Area of Science:

  • Spine surgery
  • Orthopedic biomechanics
  • Degenerative cervical disease

Background:

  • Anterior cervical discectomy and fusion (ACDF) is a common procedure for degenerative cervical disease.
  • Plate fixation is used to stabilize the cervical spine after ACDF.
  • The biomechanical properties of static versus dynamic plates are debated.

Purpose of the Study:

  • To compare fusion rates, time to fusion, complication rates, and subsidence between static, dynamic angulation, and dynamic translation plates in ACDF.
  • To evaluate the clinical efficacy of different anterior cervical plate designs.

Main Methods:

  • A randomized controlled trial involving 36 patients with two-level degenerative cervical changes.
  • Patients were blinded and randomized to receive a static plate (CSLP), a dynamic angulation plate (Atlantis Vision), or a dynamic translation plate (Premier).

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Last Updated: May 12, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Published on: November 8, 2024

  • Outcomes included fusion rates, time to fusion, subsidence, and complications, assessed via X-rays and blinded evaluation.

    • Main Results:

    • Fusion rates were high across all groups (100% CSLP, 91% Atlantis, 92% Premier).
    • Mean time to fusion and subsidence levels showed no statistically significant differences between static and dynamic plates.
    • Subsidence occurred even with static plating, at comparable levels to dynamic plates.

    Conclusions:

    • Dynamic cervical plates do not offer a clinical advantage over static plates in terms of fusion, time to fusion, subsidence, or complications.
    • Static plating is a viable option, allowing for subsidence similar to that observed with dynamic plates.
    • Further research may explore long-term outcomes and patient-reported functional improvements.