A Comparative Study of the Anterior Cervical Fusion with Harms Cage versus Iliac Bone Block: Clinical and Radiological Outcomes (경추 전방 유합술에서 Harms 케이지와 장골 블록 이식술의 임상적, 방사선학적 결과 비교)

정재윤; Yim, Ji hyun (임지현); Hyoung-Yeon Seo (서형연); Kim Sung Kyu (김성규); 이승훈

A Comparative Study of the Anterior Cervical Fusion with Harms Cage versus Iliac Bone Block: Clinical and Radiological Outcomes

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2011, 18(4), pp.186-194
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

정재윤 ¹, Yim, Ji hyun ¹, Hyoung-Yeon Seo ¹, Kim Sung Kyu ², 이승훈 ¹

¹전남대학교
²전남대학교병원

Accredited

ABSTRACT

Study Design: A retrospective study. Objectives: To evaluate the clinical and radiological outcomes of anterior cervical fusion within Harms cage versus an iliac bone block graft. Summary of Literature Review: There is no current consensus regarding the optimal material for anterior cervical fusion. Materials and Methods: This was a single-center study of 107 patients who either underwent anterior cervical fusion with an iliac bone block graft (n=56; group A) or a cancellous bone graft within the cervical Harms titanium cage (n=51; group B). Anterior plating occurred in all cases. Clinical outcomes and complications were evaluated using Visual Analogue Scale (VAS) scores and Odom’s Criteria. Radiological outcomes were evaluated by the height of vertebral bodies, sagittal lordosis, the rate of bony union, and the subsidence of cage. Results: The VAS of donor site pain was significantly higher in group A than in group B at the final follow-up. Sagittal lordosis was increased in both groups, but was significantly higher in group B than group A. The rate of bony union was 95% and 91% for both groups 6 months after surgery and reached 100% for both groups at the final follow-up. In terms of cage subsidence, the highest point of subsidence was at the inferior and posterior aspect of the cage and the average amount of subsidence was approximately 1.3 mm at final follow-up. Conclusions: Anterior cervical fusion using a cancellous bone graft within Harms titanium cage is a good method for anterior cervical fusion with iliac bone block.

KEYWORDS

Anterior cervical fusion, Harms titanium cage, Iliac bone block

Citation status

* References for papers published after 2023 are currently being built.

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