Fibular allograft after anterior cervical corpectomy: long term follow-up.
The purpose of this study was to provide clinical and radiographic evaluation after a minimum of two years in patients who had an anterior cervical corpectomy and a fibular allograft strut. Nineteen patients returned for a follow-up visit which included independent radiographic evaluation as well as completing a Visual Analogue Scale and Oswestry and Short-Form 36 questionnaires. The categories of fusion were as follows: 1) definitely fused (84%) 2) questionably fused (11%) 3) definitely not fused (5%). The average VAS was 29 mm (range 0-85). The Oswestry Back Scores showed relatively low levels of significant pain with an average score of 29 (range 0-73). Anterior cervical corpectomy followed by an allograft fibular strut provides for relatively high rates of arthrodesis without severe loss of height or sagittal alignment at long term radiographic follow-up.
Depart of Orthopaedic Surgery, Medical University of South Carolina, Charleston 29425, USA. mckoybe@musc.edu
Brodie E
BE
McKoy
Jeffrey K
JK
Wingate
Steven C
SC
Poletti
Donald R
DR
Johnson
Mark D
MD
Stanley
John A
JA
Glaser
D016025:Bone Transplantation; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures; D013123:Spinal Fusion / Q000379:methods*; D014184:Transplantation, Homologous