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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2014, Number 5

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Acta Ortop Mex 2014; 28 (5)

Cervical arthrodesis by means of interbody fusion with autologous bone and/or interbody spacer for cervical disc disease

alvatori-Rubí JJ, Montiel-Jarquín AJ, Barragán-Hervella RG, García-Díaz OS, Pacheco-Espinosa A, Sánchez-Durán MA, Domínguez-Cid MI, Romero-Figueroa MS, García-Carrasco M

Language: Spanish
References: 20
Page: 273-276
PDF size: 166.21 Kb.


ABSTRACT

The purpose of this study was to compare the results of cervical arthrodesis performed through interbody fusion with autologous bone and/or interbody spacer for cervical disc disease. Material and methods: Comparative cross-sectional study that included 49 patients who underwent surgery for anterior arthrodesis between January and December 2011, whose clinical records were reviewed. Results: We included 49 patients: 20 (40.8%) males and 29 (59.2%) females. All of them were diagnosed with disc disease (cervical disc herniation) involving one or two levels. Mean operative time was 69.12, with a minimum of 53 and a maximum of 110 ± 19.61 minutes for cervical arthrodesis with a graft. Mean operative time was 61.18 with a minimum of 50 and a maximum of 96.00 ± 11.38 minutes for cervical arthrodesis with an interbody spacer (p = 0.00, Student t test). Patient sociodemographic and clinical characteristics and complications are shown. Patients in whom both surgical techniques were used had appropriate radiological integration, with p = 0.015, considering p ≤ a 0.05 as significant, χ2. Conclusions: In patients with cervical disc disease bone integration is appropriate with the use of either an interbody cage or an autologous iliac crest graft.


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