Vertebral Autograft Used as Bone Transplant for Anterior Cervical Corpectomy: Technical Note

Abstract

The results of this study demonstrate that transplantation of autograft bone material harvested during the ACC integrated well in the cage and in the adjacent vertebral bodies. Thus, complications associated with explantation of autograft material from other donor sites, e.g., the iliac crest, could be avoided. The early postoperative and midterm follow-up periods provided no evidence of morphological or functional instability of the operated cervical segments when this autograft technique was used in combination with cervical instrumentation.

Corpectomy with titanium cage reconstruction in the cervical spine

“…In our series 100% of patients achieved solid bony fusion. Groff et al 17 and Rieger et al 18 reported similar fusion rates of 95.8% and 100% respectively with a similar surgical technique.…”

“…The overall complication rate, major and minor, was 7.6%. Rieger et al 18 reported on 27 patients who underwent partial corpectomy and fusion with titanium strut grafts and had no graft extrusion. The only complications reported were six patients with mild dysphagia.…”

Preliminary experience of titanium mesh cages for pathological fracture of middle and lower cervical vertebrae

“…Because they have been associated with better fusion rates and longterm stability, autografts were traditionally considered to be superior to allografts. 29 Application of a modified technique involving use of resected vertebral bone material for re-implantation into TMCs is reported to result in appreciable rates of bone fusion. 29 However, donor site-related morbidities following autograft harvesting, including herniation of abdominal contents, vascular injury, deep infections, neural injury, deep hematomas, and iliac wing fractures, are routinely reported.…”

Anterior cervical surgery methods for central cord syndrome without radiographic spinal fracture-dislocation

“…Titanium mesh in proper lengths cut with serrated extremity and intervertebral pressurization formed by planting titanium mesh with proper cervical traction are essential, which can help keep stability of the titanium mesh grafting. The titanium mesh to be planted should not be too long [7,8], since it is not helpful for grafting fusion. To ectomize three discs or more, one long titanium mesh should be avoided, and a short titanium mesh graft in the intervertebral area is better for fusion (Fig.…”