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  • Title: A new source of autograft bone for interbody fusion in anterior cervical discectomy and fusion surgery: experience in 893 cases.
    Author: Dang L, Sun Y, Wang S, Pan S, Li M, Zhang L, Zhang F.
    Journal: Br J Neurosurg; 2017 Feb; 31(1):33-38. PubMed ID: 27425571.
    Abstract:
    PURPOSE: This study is to share our experience of a modified anterior cervical discectomy and fusion (ACDF) procedure with a new source of autograft bone for interbody fusion. METHODS: The same procedure was performed in 893 cases where autograft was obtained from the osteophytes and/or the reams of vertebrae. For each case, radiological fusion rate and clinical outcome were followed up for 3 and 12 months after surgery. RESULTS: For one to three-level ACDF, fusion rates were from 67.8% to 75.4% at 3 months follow-up, and 92% to 98.8% at 12 months follow-up. Patients' VAS, NDI, JOA and SF-36 score improve significantly at 12 months follow-up. CONCLUSION: Osteophytes and vertebral reams can be a reliable source of bone graft that leads to high fusion rate and successful clinical outcome while avoiding all the problems with the current bone grafting methods used in ACDF surgery.
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