Anterior lumbar interbody fusion using a hybrid graft.
This prospective study evaluates the clinical and radiological results of anterior lumbar interbody fusion using a femoral cortical ring allograft (FCA) packed with cancellous autologous bone (hybrid graft), combined with posterior pedicular fixation but without posterior fusion, for symptomatic degenerative disease of the lumbar spine. Twenty-eight out of 30 consecutive adult patients were followed up for a minimum period of 2 years. Intra- and postoperative complications were seen in 2 out of 28 patients (7%); no complications resulted from the allografts. Clinically, 24 out of 28 patients (85%) had a good to excellent result, one patient (4%) a fair result, and 3 patients (11%) a poor result. Radiologically, the overall fusion rate by the level was 98% in 28 patients.
Department of Orthopaedic Surgery, Cairo University, Cairo, Egypt. drmedoelmasry@yahoo.co.uk
Mohamed Adel
MA
el-Masry
Athansois
A
Katsochis
Walid Salaheldin
WS
Badawy
Youssry Kamal
YK
el-Hawary
D000328:Adult; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011446:Prospective Studies; D011859:Radiography; D020127:Recovery of Function; D018570:Risk Assessment; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D014184:Transplantation, Homologous; D016896:Treatment Outcome