Foreign body reaction to hydroxyapatite after anterior cervical discectomy with fusion
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The surgical management of cervical disc herniation has greatly evolved over the last century. Shortly after the anterior cervical approach and fusion with a horseshoe bone graft , the interbody fusion using autologous iliac bone was described , and recent studies have highlighted the morbidity associated with these autografts [3, 8, 9], mainly donor site morbidity and limited supply. Consequently, the use of allograft or synthetic materials for fusion has been increasing. Nevertheless, the fusion rates are similar for the three methods, with synthetic materials averting the pain of autograft bone sourcing and being less expensive than allograft bone use [1, 7]. We are reporting an unexpected complication following the use of phosphocalcic hydroxylapatite after anterior cervical discectomy with fusion.
A 68-year-old man with type 2 diabetes mellitus, came to the out–patient clinic of our department complaining of decreased strength on the right limbs. He presented...
KeywordsHydroxyapatite Foreign Body Reaction Cervical Disc Hydroxylapatite Anterior Cervical Discectomy
The authors are grateful to Prof. Doutor João Lobo Antunes for the proofread and the critical analysis of this article.
Conflicts of interest
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