Abstract
Background
The use of interbody cages with bone autograft following anterior cervical discectomy is well documented. The use of high-speed drills in the drilling of the posterior osteophyte results in the production of bone dust with viable osteophytes. We report the use of the ANSPACH bone collector device, which can be connected to standard suction circuitry and used to collect this bone dust.
Method/Results
A group of six patients undergoing anterior cervical discectomies at one (4) or two levels (2). The bone collector was attached to the suction system. Following collection of the desired bone dust from the devices’ collection chambers, it was fitted into the previously sized interbody cages and impacted into the disc spaces. The bone collector is a single-use, disposable device, delivered sterile, designed to connect to standard 6-mm suction tubing. The use of the bone collector provided sufficient bone material for complete filling of the interbody cages in all of the patients.
Discussion
The use of autogenous cancellous bone material is the gold standard with regards to bone graft. The collection of bone dust during the use of high-speed drills has a number of applications and could provide a useful source of viable osteogenic material in spinal, cranial and craniofacial procedures.
Conclusion
The use of the ANSPACH bone collector incorporated into a standard suction system provides an efficient method of autograft collection, removing the need for an adjunctive procedure with associated donor-site morbidity.
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Notes
The Solis cages used had internal anteroposterior diameters of 14 or 16 mm, and depths of 5, 6 or 7 mm.
References
Banwart JC, Asher MA, Hassanein RS (1995) Iliac crest bone graft harvest site donor site morbidity. A statistical evaluation. Spine 20(9):1055–1060
Bishop RC, Moore KA, Hadley MN (1996) Anterior cervical interbody fusion using autogeneic and allogeneic bone graft substrate: a prospective comparative analysis. J Neurosurg 85(2):206–210
Heidari N, John C, Agyare K, Tucker S (2007) A novel method for the salvage of bone dust generated by high-speed burrs in spinal surgery. Annals of the Royal College of Surgey 89(5):529–537
Martin GJ Jr, Haid RW Jr, MacMillan M, Rodts GE Jr, Berkman R (1999) Anterior cervical discectomy with freeze-dried fibula allograft. Overview of 317 cases and literature review. Spine 24(9):852–859
Sawin PD, Traynelis VC, Menezes AH (1998) A comparative analysis of fusion rates and donor-site morbidity for autogeneic rib and iliac crest bone grafts in posterior cervical fusions. J Neurosurg 88(2):255–265
Shad A, Leach JC, Teddy PJ, Cadoux-Hudson TA (2005) Use of the Solis cage and local autologous bone graft for anterior cervical discectomy and fusion: early technical experience. J Neurosurg Spine 2(2):116–122
Tessier P, Kawamoto H, Matthews D, Posnick J, Raulo Y, Tulasne JF, Wolfe SA (2005) Autogenous bone grafts and bone substitutes—tools and techniques: I. a 20,000-case experience in maxillofacial and craniofacial surgery. Plast Reconstr Surg 116(5 Supplement):6S–24S
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Jinendra Ekanayake, and Amjad Shad have no financial involvement/ interest in the utilised bone collector device or its parent company.
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Ekanayake, J., Shad, A. Use of the novel ANSPACH bone collector for bone autograft in anterior cervical discectomy and cage fusion. Acta Neurochir 152, 651–653 (2010). https://doi.org/10.1007/s00701-009-0513-0
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DOI: https://doi.org/10.1007/s00701-009-0513-0