경추 추간판절제술후 전방 골유합시에 자가골분진을 충전시킨 동결건조된 동종비골이식의 유용성

• Published in: 대한신경외과학회지 Vol. 29; no. 8; pp. 1043 - 1049
• Main Authors: 이상대, 이동열, 김수영, 정영균, 조봉수, 박혁, Lee, Sang Dae, Rhee, Dong Youl, Kim, Soo Young, Jeong, Young Gyun, Cho, Bong Soo, Park, Hyuck
• Format: Journal Article
• Language: Korean
• Published: 2000
• Subjects: Autogenous bone dust; Bone fusion; Fibular bone allograft
• ISSN: 1225-8245; 1598-7876

Objective : This study was undertaken to evaluate the availability of allogenic fibular bone graft filled with autogenous bone dust in anterior cervical fusion after cervical discectomy. Methods : During a 4-year period(1995-1998), twenty four cases of anterior cervical fusion after discectomy were performed with fibular allograft filled with autogenous bone dust in degenerative cervical disease. We used freeze-dried fibular allograft and autogenous bone dust. Autogenous bone dust obtained from spondylotic spurs, osteophytes, and during foraminotomy. Cervical plating system was done at 8 patients. 5 patients were 1 level and 3 patients were 2 levels. All patients were routinely evaluated after surgery at 2 weeks, 1 month, 3 months, 5 months and 12 months. Mean follow-up period was 21months. Results : Eighty eight percent of the patients were found to have excellent or good clinical results. Radiographic follow-up revealed that 92% of the patients obtained complete or partial union by 5 months after surgery. One patient had graft extrusion immediately after surgery and had the graft reinserted. Two patients had longitudinal graft fractures. There were no graft related complications. Conclusion : Fibular allograft filled with autogenous bone dust for cervical interbody fusion after discectomy is an ideal graft material by showing obvious benefits of good fusion rate and elimination of donor site complications. And also we were able to obtain satisfactory clinical outcome.