scholarly journals Safety and Efficacy of Local Bone with PEEK Cage versus Iliac Bone Graft in Anterior Cervical Discectomy and Fusion: A Prospective Study

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582840-s-0036-1582840
Author(s):  
Zhili Liu ◽  
Jiaming Liu ◽  
Xu Xiong ◽  
Risheng Xu
Keyword(s):  
Prospective Study ◽  
Bone Graft ◽  
Iliac Bone ◽  
Anterior Cervical Discectomy ◽  
Peek Cage ◽  
Safety And Efficacy ◽  
Cervical Discectomy ◽  
Local Bone ◽  
Iliac Bone Graft ◽  
A Prospective Study

Feasibility of local bone dust as a graft material in anterior cervical discectomy and fusion

2019 ◽  
Vol 31 (4) ◽  
pp. 480-485 ◽  
Author(s):  
Sehan Park ◽  
Dong-Ho Lee ◽  
Saemin Hwang ◽  
Soohyun Oh ◽  
Do-yon Hwang ◽  
...  
Keyword(s):  
Bone Graft ◽  
Fusion Rate ◽  
Iliac Bone ◽  
Anterior Cervical Discectomy ◽  
Graft Material ◽  
Filling Material ◽  
Arm Pain ◽  
Local Bone ◽  
Iliac Bone Graft ◽  
Vas Scores

OBJECTIVELocal bone dust has been used previously as a substitute cage filling material for iliac bone grafts during anterior cervical discectomy and fusion (ACDF). However, the impacts of local bone dust on fusion rate and clinical results remain unclear. Extragraft bone bridging (ExGBB) is a reliable CT finding indicating segmental fusion. This study was conducted to compare fusion rates for the use of local bone dust or an iliac auto bone graft during ACDF surgery and to evaluate the effect of implanting bone graft outside the cage.METHODSNinety-three patients who underwent ACDF at a single institution were included. An iliac bone graft was used as the polyetheretherketone (PEEK) cage filling graft material in 43 patients (iliac crest [IC] group). In the IC group, bone graft material was inserted only inside the cage. Local bone dust was used in 50 patients (local bone [LB] group). Bone graft material was inserted both inside and outside the cage in the LB group. Segmental fusion was assessed by 1) interspinous motion (ISM), 2) intragraft bone bridging (InGBB), and 3) ExGBB. Fusion rates, visual analog scale (VAS) scores for neck and arm pain, and Neck Disability Index (NDI) scores were compared between the 2 groups.RESULTSThe neck and arm pain VAS scores and NDI score improved significantly in both groups. Fusion rates assessed by ISM and InGBB did not differ significantly between the groups. However, the fusion rate in the LB group was significantly higher than that in the IC group when assessed by ExGBB (p = 0.02).CONCLUSIONSUsing local bone dust as cage filling material resulted in fusion rates similar to those for an iliac bone graft, while avoiding potential complications and pain caused by iliac bone harvesting. A higher rate of extragraft bone bridge formation was achieved by implanting local bone dust outside the cage.

SURGICAL RESULTS IN ANTERIOR CERVICAL DISCECTOMY AND FUSION USING A COUNTERSUNK INTERLOCKING AUTOGENOUS ILIAC BONE GRAFT

Orthopedics ◽  
1992 ◽  
Vol 15 (8) ◽  
pp. 923-925
Author(s):  
David N Bosacco ◽  
Arnold T Berman ◽  
Richard J Levenberg ◽  
Stephen J Bosacco
Keyword(s):  
Bone Graft ◽  
Iliac Bone ◽  
Anterior Cervical Discectomy ◽  
Surgical Results ◽  
Cervical Discectomy ◽  
Iliac Bone Graft

scholarly journals Comparison of Cortical Ring Allograft and Plate Fixation with Autologous Iliac Bone Graft for Anterior Cervical Discectomy and Fusion

2019 ◽  
Vol 13 (2) ◽  
pp. 258-264 ◽  
Author(s):  
Jae Chul Lee ◽  
Hae-Dong Jang ◽  
Joonghyun Ahn ◽  
Sung-Woo Choi ◽  
Deokwon Kang ◽  
...  
Keyword(s):  
Bone Graft ◽  
Plate Fixation ◽  
Iliac Bone ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Iliac Bone Graft ◽  
Autologous Iliac Bone Graft

scholarly journals Comparative Study of Iliac Bone Graft and Carbon Cage with Local Bone Graft in Posterior Lumbar Interbody Fusion

2002 ◽  
Vol 10 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Yasuhisa Arai ◽  
Masaki Takahashi ◽  
Hisashi Kurosawa ◽  
Katsuo Shitoto
Keyword(s):  
Blood Loss ◽  
Bone Graft ◽  
Operating Time ◽  
Iliac Bone ◽  
Carbon Cage ◽  
Operative Results ◽  
Local Bone ◽  
Estimated Blood Loss ◽  
Iliac Bone Graft ◽  
Cage Group

We performed a comparative study of iliac bone graft (the iliac bone group) and carbon cage with local bone graft (the cage group) in PLIF to evaluate the clinical results of both methods. We examined both groups about the operating time, the estimated blood loss, the operative results using the score rating system of Japanese Orthopaedic Association (JOA score), and the presence of bone union on radiography. The operating time and the estimated blood loss of the cage group were statistically less than those of the iliac bone group. There were no significant differences between both groups about the operative results. The radiographic evaluation on bone union showed that half of the iliac bone group had collapsed union, but all cases of the cage group revealed union without collapse.

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