Acta Neurochirurgica

, Volume 131, Issue 1–2, pp 106–118

Morbidity after anterior cervical decompression and fusion. The influence of the donor site on recovery, and the results of a trial of surgibone compared to autologous bone

  • J. N. Rawlinson
Clinical Articles

Summary

The Cloward procedure is a routine approach to decompress and fuse the cervical spine. This paper looks at two aspects of the operation. Firstly the morbidity due to the hip wound is assessed, and alternatives to the use of autologous bone graft discussed. Secondly one Neurosurgical Unit's experience in the use of surgibone — an animal bone substitute harvested from steers and fashioned in dowels — is described. In this trial it was not found to be a satisfactory substitute to autologous bone.

Keywords

Cloward procedure vertebral fusion surgibone 

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References

  1. 1.
    Cloward RB (1988) The anterior surgical approach to the cervical spine: the Cloward procedure: past, present, and future. Spine 13: 823–827PubMedGoogle Scholar
  2. 2.
    Cloward RB (1970) Creation and operation of a bone bank. J. Neurosurg 33: 682–688PubMedGoogle Scholar
  3. 3.
    Dohn DF (1966) Anterior interbody fusion for treatment of cervical disk conditions. JAMA 197: 175–178Google Scholar
  4. 4.
    Espersen JO,et al (1984) Treatment of cervical disc disease using Cloward's technique. I: General results, effect of different operative methods and complications in 1.106 patients. Acta Neurochir (Wien) 70: 97–114Google Scholar
  5. 5.
    Goran A, Krishna Murthy K (1978) Fracture dislocation of the cervical spine. Value of anterior approach with bovine bone interbody fusion. Spine 3: 95–102PubMedGoogle Scholar
  6. 6.
    Jarcho M (1981) Calcium phosphate ceramics as hard tissue prosthetics. Clin Orth Rel Res 157: 259–278Google Scholar
  7. 7.
    Kalbag RM (1986) Personal communication. Consultant Neurosurgeon, NewcastleGoogle Scholar
  8. 8.
    Koyama T, Handa J (1986) Porous hydroxyapatite ceramics for use in neurosurgical practice. Surg Neurol 25: 71–73PubMedGoogle Scholar
  9. 9.
    Maatz R, Bauermeister A (1957) A method of bone maceration. Results of animal experiments. JBJS 39 A: 153–166Google Scholar
  10. 10.
    Martins AN (1976) Anterior cervical decompression with and without interbody bone graft. J Neurosurg 44: 290–295PubMedGoogle Scholar
  11. 11.
    McMurray GN (1982) The evaluation of Kiel bone in spinal fusions. J Bone Joint Surg 64 B (i): 101–104Google Scholar
  12. 12.
    Murphy MD, Gado M (1972) Anterior cervical discectomy without interbody bone graft. J Neurosurg 37: 71–74PubMedGoogle Scholar
  13. 13.
    Nicholson MW (1974) Technique for obtaining iliac bone graft for anterior cervical fusion. J Neurosurg 41: 260–261PubMedGoogle Scholar
  14. 14.
    Nielsen IMet al (1981) Kielbone on new attachment attempts in humans. J Periodont 52: 723–728PubMedGoogle Scholar
  15. 15.
    Ramani PSet al (1975) Cervical spinal interbody fusion with Kiel bone. Br J Surg 62: 147–150PubMedGoogle Scholar
  16. 16.
    Riley DHet al (1969) The results of anterior interbody fusion of the cervical spine. J Neurosurg 30: 127–133PubMedGoogle Scholar
  17. 17.
    Rish BLet al (1976) Anterior cervical fusion using homologous bone grafts: a comparative study. Surg Neurol 5: 119–121PubMedGoogle Scholar
  18. 18.
    Robertson JT (1973) Anterior removal of cervical disc without fusion. Clin Neurosurg 20: 259–261PubMedGoogle Scholar
  19. 19.
    Siqueira EB, Kranzler LI (1982) Cervical interbody fusion using calf bone. Surg Neurol 18 (i): 37–39PubMedGoogle Scholar
  20. 20.
    Taheri ZE, Gueramy M (1972) Experience with calf bone in cervical interbody spinal fusion. J Neurosurg 36 (i): 67–71PubMedGoogle Scholar
  21. 21.
    UNILAB Surgibone for Surgical Implant — Product Information. UNILAB, Inc., 764 Ramsey Ave., Hillside, NJ 07205, USAGoogle Scholar
  22. 22.
    Wacaser LE (1972) A nearly painless method of obtaining Cloward bone plugs. J Neurosurg 37: 619Google Scholar
  23. 23.
    White AAet al (1973) Relief of pain by anterior spine fusion for spondylosis. J Bone Joint Surg 55 A: 525–534Google Scholar
  24. 24.
    Wilson DH, Campbell DD (1977) Anterior cervical discectomy without bone graft. J Neurosurg 47: 551–555PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • J. N. Rawlinson
    • 1
  1. 1.Accident and Emergency DepartmentBristol Royal InfirmaryBristolUK

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