title: An in-vitro biomechanical comparison of the Orosco and AO locking plates for anterior cervical spine fixation.
abstract: The Orosco anterior cervical spine plate (H-plate) and the Morscher AO cervical locking plate (CSLP) were studied to determine their comparative in vitro mechanical properties in flexion. Human cadaver cervical spines were tested nondestructively in flexion as intact, destabilized, and stabilized specimens with both implants. Stabilized specimens were also subjected to a large angular displacement in an attempt to induce implant failure. Differences between intact, destabilized, and stabilized specimens were significant for both the CSLP and H-plate groups in flexion testing (p < 0.05). Large angular displacement testing resulted in plate/screw displacement with the H-plate but not with the CSLP. Small angular displacements in flexion was tolerated well by both implants, but only the CSLP maintained stability with large angular displacements.
authors.affiliation: Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Smith
authors.forename: R W
authors.initials: RW
authors.lastname: Lindsey
authors.forename: B J
authors.initials: BJ
authors.lastname: Doherty
authors.forename: J
authors.initials: J
authors.lastname: Alexander
authors.forename: J H
authors.initials: JH
authors.lastname: Dickson
mesh_terms: D001696:Biomechanical Phenomena; D002574:Cervical Vertebrae / Q000502:physiology*; D003664:Decompression; D006801:Humans; D066298:In Vitro Techniques; D012107:Research Design; D013123:Spinal Fusion