Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
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Clinical Trial
Hollow bone cement filled with impacted cancellous bone as a substitute for bone grafts in cervical spine fusion.
Autogenous iliac crest bone is the gold standard for graft material in cervical spinal fusion, but a high incidence of donor site morbidity has been reported. Therefore, to achieve a better fusion rate and decrease the rate of donor site morbidity, we used a novel method whereby hollow bone cement filled with impacted cancellous bone is used as a substitute for bone graft in cervical interbody fusion. From 2003 to 2004, 21 patients with cervical spinal disorders who were treated using this method were included in this study. ⋯ Hollow bone cement filled with impacted cancellous bone could be an alternative material for cervical spine interbody fusion. Using this method, we found not only satisfactory growth of cancellous bone in the holes of the bone cement, but also low morbidity in the donor site. However, for this method, the long-term stability, potential complications, and the necessity of instrumentation all require further investigation.
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Comment Letter Case Reports
Posterior decompression and fusion: dorsal migration of the spinal cord is the key!