title: A new source of autograft bone for interbody fusion in anterior cervical discectomy and fusion surgery: experience in 893 cases.
abstract: OBJECTIVE
  This study is to share our experience of a modified anterior cervical discectomy and fusion (ACDF) procedure with a new source of autograft bone for interbody fusion.
  
  
  METHODS
  The same procedure was performed in 893 cases where autograft was obtained from the osteophytes and/or the reams of vertebrae. For each case, radiological fusion rate and clinical outcome were followed up for 3 and 12 months after surgery.
  
  
  RESULTS
  For one to three-level ACDF, fusion rates were from 67.8% to 75.4% at 3 months follow-up, and 92% to 98.8% at 12 months follow-up. Patients' VAS, NDI, JOA and SF-36 score improve significantly at 12 months follow-up.
  
  
  CONCLUSIONS
  Osteophytes and vertebral reams can be a reliable source of bone graft that leads to high fusion rate and successful clinical outcome while avoiding all the problems with the current bone grafting methods used in ACDF surgery.
authors.affiliation: a Orthopedic Department of Peking University Third Hospital , Beijing , China.
authors.forename: Lei
authors.initials: L
authors.lastname: Dang
authors.affiliation: a Orthopedic Department of Peking University Third Hospital , Beijing , China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Sun
authors.affiliation: a Orthopedic Department of Peking University Third Hospital , Beijing , China.
authors.forename: Shaobo
authors.initials: S
authors.lastname: Wang
authors.affiliation: a Orthopedic Department of Peking University Third Hospital , Beijing , China.
authors.forename: Shengfa
authors.initials: S
authors.lastname: Pan
authors.affiliation: a Orthopedic Department of Peking University Third Hospital , Beijing , China.
authors.forename: Mai
authors.initials: M
authors.lastname: Li
authors.affiliation: a Orthopedic Department of Peking University Third Hospital , Beijing , China.
authors.forename: Li
authors.initials: L
authors.lastname: Zhang
authors.affiliation: a Orthopedic Department of Peking University Third Hospital , Beijing , China.
authors.forename: Fengshan
authors.initials: F
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016025:Bone Transplantation / Q000379:methods*; D017690:Cell Transplantation / Q000379:methods*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D019299:Decompression, Surgical; D017586:Diskectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D054850:Osteophyte; D012189:Retrospective Studies; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D013123:Spinal Fusion / Q000379:methods*; D013131:Spine / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Cervical vertebrae; autologous; spinal fusion; transplantation