Earlier this year, Dr. Rick Sasso and I were asked to write a spine continuing educa
tion chapter on “Controversies in Cervical Spine Surgery”, specifically about a newer spine surgical technology known as dynamic plating for cervical fusions. Traditional plates, known as static plates, have a high success rate, but in reviewing the published reports of direct comparisons between the two plates, the dynamic plates have a slightly higher percentage which fuse. It may be even more beneficial in longer fusions.
I have switched my practice to essentially using only the dynamic plates for cervical spinal fusions. I have been very happy with the results. As with all new technology, it is important to carefully monitor results and compare them against established techniques. I'm keeping an eye on continuing trials even as I incorporate this technology into my own practice.
(This blog entry was written by Paul Kraemer, MD; a spine surgeon with Indiana Spine Group).
What about dynamic stabilization devices as an alternative to lumbar fusion? I have been doing some online research, hoping to get plugged into a 522 study, or otherwise explore whether insurance might cover something like this in my situation. (2 degenerating discs.) Can you recommend any helpful online resources?