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
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.
KeywordsCloward procedure vertebral fusion surgibone
Unable to display preview. Download preview PDF.
- 3.Dohn DF (1966) Anterior interbody fusion for treatment of cervical disk conditions. JAMA 197: 175–178Google Scholar
- 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
- 6.Jarcho M (1981) Calcium phosphate ceramics as hard tissue prosthetics. Clin Orth Rel Res 157: 259–278Google Scholar
- 7.Kalbag RM (1986) Personal communication. Consultant Neurosurgeon, NewcastleGoogle Scholar
- 9.Maatz R, Bauermeister A (1957) A method of bone maceration. Results of animal experiments. JBJS 39 A: 153–166Google Scholar
- 11.McMurray GN (1982) The evaluation of Kiel bone in spinal fusions. J Bone Joint Surg 64 B (i): 101–104Google Scholar
- 21.UNILAB Surgibone for Surgical Implant — Product Information. UNILAB, Inc., 764 Ramsey Ave., Hillside, NJ 07205, USAGoogle Scholar
- 22.Wacaser LE (1972) A nearly painless method of obtaining Cloward bone plugs. J Neurosurg 37: 619Google Scholar
- 23.White AAet al (1973) Relief of pain by anterior spine fusion for spondylosis. J Bone Joint Surg 55 A: 525–534Google Scholar