====== Caspar plate ======


A technique for anterior cervical iliac [[graft]] fusion with standardized, commercially available [[screw]] and [[plate]] fixation (Caspar plating) has been developed. The step-by-step procedure, as well as the [[instrument]]s designed to facilitate the [[procedure]], are described in this report. Sixty cases of [[cervical]] [[trauma]] ([[cervical fracture]]s, subluxations, ligamentous instability, or a combination of these problems) were treated with Caspar plating. All patients obtained fusion, and stability was achieved immediately after surgery without external stabilization. No unusual surgical complications occurred, and the most dreaded complication of dural penetration by drilling or screw placement was not observed. This report details the neurological presentation, anatomical lesions, surgical therapy, and outcome of these patients. Caspar plating combines the advantage of an anterior surgical approach with immediate postoperative stabilization without external stabilization. This advantage persists even in the presence of posterior ligamentous instability. The technique is an important addition to the surgical treatment of cervical trauma
((Caspar W, Barbier DD, Klara PM. Anterior cervical fusion and Caspar plate stabilization for cervical trauma. Neurosurgery. 1989 Oct;25(4):491-502. doi: 10.1097/00006123-198910000-00001. PMID: 2797387.)).