Comparative analysis of allogeneic bone pad and autogenous bone graft in anterior cervical interbody fusion
10.3969/j.issn.2095-4344.2014.39.004
- VernacularTitle:自制异体骨垫与自体髂骨在颈椎前路椎间植骨融合中的比较
- Author:
Weiji WANG
;
Yucheng GUAN
;
Xilin GAO
;
Minghua JI
;
Shuzhang GUO
;
Xiangcheng FAN
;
Sibo YE
- Publication Type:Journal Article
- Keywords:
spinal fusion;
bone transplantation;
internal fixators
- From:
Chinese Journal of Tissue Engineering Research
2014;(39):6252-6257
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Surgical treatment is often required for fractures of the cervical vertebrae. Anterior interbody fusion technology is stil the main method for the treatment of cervical degeneration or traumatic instability. Here, the self-made oval al ogeneic bone pad can adapt to different height and width of the intervertebral space, in line with the physiological shape of the intervertebral space. OBJECTIVE:By comparison with autogenous iliac crest bone, to evaluate various types of self-designed al ogeneic bone pads on anterior cervical interbody fusion. METHODS:From January 2009 to December 2013, 58 patients with cervical disc herniation were enrol ed and subjected to cervical discectomy and anterior cervical interbody fusion. According to different bone grafts, these patients were divided into al ogeneic bone pad and autogenous iliac bone groups. The course of disease was 12 to 24 months. The postoperative effect was measured by Japanese Orthopaedic Association (JOA) score, cervical fusion rate, fusion time, operative time, blood loss and rejection rate. RESULTS AND CONCLUSION:At 6 months postoperatively, the JOA score of two groups had no significant difference at 6 months after treatment (P>0.05);the cervical fusion rates were 83.7%and 87.8%, respectively, in the al ogeneic bone pad and autogenous iliac bone groups, with no significant difference (P>0.05). Fusion time was higher in the al ogeneic bone pad than in the autogenous iliac bone group (P<0.05). The internal fixators in the two groups were firmed without loosening, and there was no rejection during the fol ow-up. Compared with the autogenous iliac crest bone, anterior cervical interbody fusion with al ogeneic bone pad can achieve satisfactory effects, which can be better for intervertebral fusion and cannot induce pain due to bone cutting.
