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DC Field | Value | Language |
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dc.contributor.author | Brazenor, Graeme | - |
dc.date.accessioned | 2016-12-06T04:46:46Z | - |
dc.date.available | 2016-12-06T04:46:46Z | - |
dc.date.issued | 2007-01 | - |
dc.identifier.citation | Spine (Phila Pa 1976). 2007 Jan 1;32(1):63-71. | en_US |
dc.identifier.issn | 0362-2436 | en_US |
dc.identifier.uri | http://hdl.handle.net/11434/949 | - |
dc.description.abstract | STUDY DESIGN: A retrospective study of 73 consecutive patients who underwent cervical corpectomy and anterior strut fixation over 3 or more disc levels between July 1989 and May 1999. OBJECTIVE: To compare the efficacy of cervical spine fixation by autologous strut graft from iliac crest or fibula versus a titanium prosthesis without bone graft. SUMMARY OF BACKGROUND DATA: Strut grafting after multilevel anterior cervical corpectomy remains a challenging procedure, with published dislocation rates from 0% to 71%, and nonunion from 0% to 54%. This paper describes a quicker and easier alternative to the use of a bone strut, imparting a very high degree of immediate spinal stability, and osseous integration equivalent to bone fusion. METHODS: Thirty-eight bone-graft operations and 38 titanium prosthesis operations were performed on 73 patients between July 24, 1989 and May 20, 1999. Average follow-up was 53.2 months (range 19.8-134). RESULTS: The group of patients who received the prosthesis was significantly older than the bone-grafted group and required significantly more segments excised, but operation times were significantly shorter than for the bone strut operation. The titanium prosthesis had a lower incidence of dislodgement in the early postoperative period (1/38 vs. 4/38 for bone struts) but a higher rate of late reoperation (4/38 vs. 1/38 for bone struts). The SF-36 scores in the domain of Physical Function (only) were significantly higher in the bone-grafted group (P = 0.016, Mann Whitney), consistent with the difference in mean ages of the 2 groups. The groups were indistinguishable by Odom criteria, patient verdict, pain scores, analgesic intake, length of hospital stay, radiologic fusion rate, and residual symptoms. CONCLUSION: A titanium rod and buttress prosthesis may be a faster and easier alternative to conventional iliac crest/fibula autograft after multisegmental cervical vertebral corpectomy. | en_US |
dc.publisher | Lippincott Williams & Wilkins | en_US |
dc.subject | Bone Transplantation | en_US |
dc.subject | Strut Grafting | en_US |
dc.subject | Cervical Vertebrae | en_US |
dc.subject | Radiography | en_US |
dc.subject | Internal Fixators | en_US |
dc.subject | Prosthesis Implantation | en_US |
dc.subject | Spinal Fusion | en_US |
dc.subject | Cervical Spine Fixation | en_US |
dc.subject | Osseous Integration | en_US |
dc.subject | Cervical Corpectomy | en_US |
dc.subject | Anterior Strut Fixation | en_US |
dc.subject | Autologous Strut Graft | en_US |
dc.subject | Cervical Spine Fixation | en_US |
dc.subject | Titanium Prosthesis | en_US |
dc.subject | Epworth HealthCare, Victoria, Australia | en_US |
dc.title | Comparison of multisegment anterior cervical fixation using bone strut graft versus a titanium rod and buttress prosthesis: analysis of outcome with long-term follow-up and interview by independent physician. | en_US |
dc.type | Journal Article | en_US |
dc.identifier.doi | 10.1097/01.brs.0000250304.24001.24 | en_US |
dc.identifier.journaltitle | Spine | en_US |
dc.description.pubmeduri | https://www.ncbi.nlm.nih.gov/pubmed/17202894 | en_US |
dc.type.studyortrial | Retrospective studies | en_US |
dc.type.contenttype | Text | en_US |
Appears in Collections: | Musculoskeletal Neurosciences |
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