COMPARISON OF ANTERIOR CERVICAL FUSIONS USING AUTOGENOUS BONE-GRAFT OBTAINED FROM THE CERVICAL-VERTEBRAE TO THE MODIFIED SMITH-ROBINSON TECHNIQUE

被引:18
作者
MCGUIRE, RA
STJOHN, K
机构
[1] Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, MS
来源
JOURNAL OF SPINAL DISORDERS | 1994年 / 7卷 / 06期
关键词
CERVICAL DISKECTOMY; AUTOGENOUS BONE GRAFT; SMITH-ROBINSON TECHNIQUE;
D O I
10.1097/00002517-199412000-00006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Anterior cervical discectomy and interbody grafting provide excellent results in treating cervical radiculopathy. This prospective study compares the results of the technique obtaining autogenous bone from the cervical vertebrae for grafting to the modified Smith-Robinson technique using autogenous iliac crest graft. Seven levels in six patients were fused using the vertebral body autograft technique and 43 levels in 40 patients using the standard technique. All patients had radiculopathy and neck pain. Statistically significant differences in fusion rate (4/7 vertebral body autograft; 40/43 modified Smith-Robinson) (p = 0.029), disc height maintenance (p = 0.001), and neck pain improvement (p = 0.05) occurred between the techniques. We do not recommend vertebral body autograft over the modified Smith-Robinson technique for anterior cervical fusion following discectomy.
引用
收藏
页码:499 / 503
页数:5
相关论文
共 9 条
[1]  
Batzdorf U., Batzdorf A., Analysis of Cervical Spine Curvature in the Surgical Management of Cervical Spondylotic Myelopathy: A Pilot Study, Paper Presented at American Association of Neu-Rological Surgeons, Denver, April, pp. 13-17, (1986)
[2]  
Bayley J.C., Uyoo J.U., Zou D., The effect of distraction and anterior strut graft insertion on cervical foraminal size, Orthop Trans, 16, (1992)
[3]  
Brodke D.S., Zdeblick T.A., Modified Smith-Robinson procedure for anterior cervical discectomy and fusion, Spine, 17, pp. S427-S430, (1992)
[4]  
Cloward R.B., Lesions of the intervertebral disc and their treatment by interbody fusion methods, Clin Orthop, 27, pp. 51-77, (1963)
[5]  
Friedlaender G.E., Current concepts review: Bone grafts, J Bone Joint Surg [Am], 69, pp. 786-789, (1987)
[6]  
Kurz L.T., Bartin S.R., Booth R.E., Harvesting autogenous iliac bone grafts. A review of complications and techniques, Spine, 14, pp. 1324-1331, (1989)
[7]  
Robinson R.A., The results of anterior interbo'dy fusion of the cervical spine, J Bone Joint Surg [Am], 44, pp. 1569-1586, (1962)
[8]  
Robinson R.A., Smith G.W., Anterior lateral cervical disc removal and interbody fusion for cervical disc syndrome, Bull Johns Hopkins Hasp, 96, pp. 223-224, (1955)
[9]  
Williams R.C., Anterior Cervical Fusion Utilizing Autogenous Bone Graft from the Cervical Vertebrae, Los Angeles: Ace Medical, (1987)