A new source of autograft bone for interbody fusion in anterior cervical discectomy and fusion surgery: experience in 893 cases

作者：Dang, Lei; Sun, Yu^*; Wang, Shaobo; Pan, Shengfa; Li, Mai; Zhang, Li; Zhang, Fengshan^*

来源：British Journal of Neurosurgery, 2017, 31(1): 33-38.

DOI：10.1080/02688697.2016.1208805

• Cervical vertebrae
• transplantation
• autologous
• spinal fusion

Purpose: This study is to share our experience of a modified anterior cervical discectomy and fusion (ACDF) procedure with a new source of autograft bone for interbody fusion.
Methods: The same procedure was performed in 893 cases where autograft was obtained from the osteophytes and/or the reams of vertebrae. For each case, radiological fusion rate and clinical outcome were followed up for 3 and 12 months after surgery.
Results: For one to three-level ACDF, fusion rates were from 67.8% to 75.4% at 3 months follow-up, and 92% to 98.8% at 12 months follow-up. Patients' VAS, NDI, JOA and SF-36 score improve significantly at 12 months follow-up.
Conclusion: Osteophytes and vertebral reams can be a reliable source of bone graft that leads to high fusion rate and successful clinical outcome while avoiding all the problems with the current bone grafting methods used in ACDF surgery.

• 出版日期2017-2
• 单位北京大学