THE USE OF FREEZE-DRIED ALLOGRAFT BONE FOR ANTERIOR CERVICAL FUSIONS

被引：227

作者：

ZDEBLICK, TA

DUCKER, TB

机构：

[1] Division of Orthopedic Surgery, University of Wisconsin, Madison, WI

[2] Deparlment of Neurological Surgery, University of Maryland, Johns Hopkins Hospital, Baltimore, MD

来源：

SPINE | 1991年 / 16卷 / 07期

关键词：

Allograft; Anterior cervical fusion; Autograft; Nonunion rate; Smith-Rob- inson method;

D O I：

10.1097/00007632-199107000-00006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A consecutive series of 87 patients undergoing Smith-Robinson anterior cervical fusion were analyzed. Either freeze-dried tricortical iliac crest bone or tricortical autograft bone was used. Surgical technique was otherwise identical. Radiography showed delayed union at 3 months in 13% of patients with autograft and in 37% of patients with freeze-dried allograft. At 1 year, radiography showed nonunion in 8% of patients with autograft and in 22% of patients with allograft. One-level procedures had a delayed union rate of 7% for autograft and 21% for allograft. Nonunion in one-level procedures was 5% for both autograft and allograft. For two-level procedures, the nonunion rate was 17% for autograft and 63% for allograft. Graft collapse was more commonly seen with freeze-dried allograft (30%) than with autograft (5%). Relief of neck and arm pain, however, was similar in both groups.

引用

页码：726 / 729

页数：4

共 23 条

[1] Aronson N., Filtzer D.L., Bagan M., Anterior cervical fusion by the Smith- Robinson approach, J Neurosurg, 29, pp. 397-404, (1968)
[2] Brown M.D., Malinin T.I., Brown M.D., A roentgenographic evaluation of frozen allografts versus autografts in anterior cervical fusions, Clin Orthop, 119, pp. 231-236, (1976)
[3] Burchardt H., Enneking W.F., Transplantation of bone, Surg Clin North Am, 58, pp. 403-427, (1978)
[4] Centers for Disease Control, (1988)
[5] Cloward R.B., The anterior approach for removal of ruptured cervical discs, J Neurosurg, 15, pp. 602-616, (1958)
[6] Cloward R.B., Gas-sterilized cadaver bone grafts for spinal fusion operations, Spine, 5, pp. 4-10, (1980)
[7] Cloward R.B., The treatment of ruptured lumbar intervertebral discs by vertebral body fusion: III method of use of banked bone, Ann Surg, 136, pp. 987-991, (1952)
[8] Depalma A., Rothman R., Lewinneck G., Et al., Anterior interbody fusion for severe cervical disc degeneration, Surg Gynecol Obstet, 134, pp. 755-758, (1972)
[9] Gore D.R., Sepic S.B., Anterior cervical fusion for degenerated or protruded discs: A review of one-hundred forty-six patients, Spine, 9, pp. 667-671, (1984)
[10] Hanley E.N., Harvell J.C., Shapiro D.E., Kraus D.R., Use of allograft bone in cervical spine surgery, Semin Spine Surg

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