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Title: Delayed fracture of fibular strut allograft following multilevel anterior cervical spine corpectomy and fusion. Author: Jones J, Yoo J, Hart R. Journal: Spine (Phila Pa 1976); 2006 Aug 01; 31(17):E595-9. PubMed ID: 16924198. Abstract: STUDY DESIGN: Case report. OBJECTIVE: To report the occurrence of the rare complication of fibular strut graft fractures in 2 patients. SUMMARY OF BACKGROUND DATA: Fatigue fracture of fibular strut allograft following anterior cervical corpectomy and fusion has rarely been reported. METHODS: Two patients sustained delayed fractures of their anterior fibular strut allografts following combined three-level cervical corpectomy and posterior instrumented fusion at 9 and 17 months after surgery. Both patients had successfully fused both ends of their anterior strut grafts. RESULTS: Both patients were successfully treated by revision posterior instrumented fusion without revision of the anterior strut. These patients' allografts were harvested from the same donor, a 69-year-old woman. The tissue bank involved does not use donor age or osteoporosis as exclusion criteria for structural allograft donation. CONCLUSIONS: The fact that this relatively rare complication occurred in 2 patients who shared the same donor suggests that the mechanical strength of the donor allograft may have played a significant role in both fractures.[Abstract] [Full Text] [Related] [New Search]