J Korean Orthop Assoc.  2014 Apr;49(2):147-152. 10.4055/jkoa.2014.49.2.147.

Usefulness of Anterior Cervical Interbody Fusion Using Locally Harvested Bone: Locally Harvested Bone Versus Autogenous Iliac Bone

Affiliations
  • 1Spine Center, Department of Orthopedic Surgery, Wonkwang University School of Medicine & Hospital, Iksan, Korea.
  • 2Department of Orthopedic Surgery, Wonkwang University Sanbon Hospital, Gunpo, Korea. niceo@daum.net

Abstract

PURPOSE
The purpose of this study is to evaluate the usefulness of locally harvested bone in anterior cervical interbody fusion.
MATERIALS AND METHODS
A retrospective review was conducted, including 31 patients who underwent anterior cervical interbody fusion using a polyetheretherketone (PEEK) cage and anterior plate fixation. We randomly divided the patients into two groups, local bone group and iliac bone group. In 15 patients of the local bone group, the cage was filled with locally harvested bone, and in another 16 patients of the iliac bone group, the cage was filled with autogenous iliac bone.
RESULTS
Improvements in mean visual analogue scale (VAS) scores, from 5.8 and 7.7 to 1.6 and 2.3 for neck pain and arm pain, respectively, were observed in cases using locally harvested bone, while the improvements were from 5.7 and 7.2 to 1.4 and 2.2, respectively, in those using autogenous iliac bone grafts. However, no significant differences in mean VAS and neck disability index were observed between the two groups at the last follow up (p>0.05). Radiologic union was achieved at 14.0+/-2.50 weeks in the local bone group, and at 12.62+/-1.58 weeks in the iliac bone group. However, no significant difference was observed between the two groups (p=0.076).
CONCLUSION
Utilization of locally harvested bone for packing in a PEEK cage for anterior cervical interbody fusion is considered a useful method because it gives satisfactory clinical results for retention of bone union and lordosis angles.

Keyword

cervical spine; anterior cervical spinal fusion; PEEK cage; locally harvested autobone; autogeneous iliac bone graft
Full Text Links
  • JKOA
Share
  • Twitter
  • Facebook
Copyright © 2020 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr