ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORT
ABSTRACT The anterior cervical discectomy and fusion is considered an established technique in cervical degenerative disease treatment, in which the final goal is the fusion of the segments involved. There are options for spacer grafts, such as bone grafts and synthetic bone substitutes like hydroxy...
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Sociedade Brasileira de Coluna (SBC)
2024-11-01
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| Series: | Coluna/Columna |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512024000301000&lng=en&tlng=en |
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| author | EDUARDO AUGUSTO IUNES JEAN EDUARDO DE SOUSA CARVALHO DEZENA CHRISTIAN LUIZ BAPTISTA GERBELLI TIAGO KIYOSHI KITABAYASHI BRAGA TELMO AUGUSTO BARBA BELSUZARRI ENRICO AFFONSO BARLETTA SERGIO CAVALHEIRO ANDREI FERNANDES JOAQUIM |
| author_facet | EDUARDO AUGUSTO IUNES JEAN EDUARDO DE SOUSA CARVALHO DEZENA CHRISTIAN LUIZ BAPTISTA GERBELLI TIAGO KIYOSHI KITABAYASHI BRAGA TELMO AUGUSTO BARBA BELSUZARRI ENRICO AFFONSO BARLETTA SERGIO CAVALHEIRO ANDREI FERNANDES JOAQUIM |
| author_sort | EDUARDO AUGUSTO IUNES |
| collection | DOAJ |
| description | ABSTRACT The anterior cervical discectomy and fusion is considered an established technique in cervical degenerative disease treatment, in which the final goal is the fusion of the segments involved. There are options for spacer grafts, such as bone grafts and synthetic bone substitutes like hydroxyapatite and tricalcium phosphate. This technical note describes the combination of the stand-alone anchored intervertebral spacer and iliac graft, which is used as a pillar between the vertebrae. The iliac crest removal is performed with a 10 mm or 12 mm diameter trephine. The trephine is employed to make a graft in the same format as the inner portion of the intervertebral spacer. The cylindrical bone graft removed must be 1 millimeter higher than the cage that will be implanted so that it is 0.5 mm above and below the upper and lower edges of the cage. The objective is to establish support between the vertebral plateaus and the bone cylinder, as they present similar resistance and biological aspects, which are fundamental characteristics for proper osseointegration and fusion. When the conventional technique is used, the interaction between the cage and the plateaus occurs more intensely, and a plateau fracture may occur, a phenomenon known as subsidence. This technical note describes a feasible way to obtain autograft bone to be used in ACDF stand-alone surgery. This type of graft may be associated with lower rates of pseudoarthrosis. Level of Evidence IV; Case Series. |
| format | Article |
| id | doaj-art-cf707f5de0724e6c9dfe6c911625d327 |
| institution | OA Journals |
| issn | 2177-014X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj-art-cf707f5de0724e6c9dfe6c911625d3272025-08-20T02:23:09ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2024-11-0123310.1590/s1808-185120242303287829ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORTEDUARDO AUGUSTO IUNEShttps://orcid.org/0000-0002-3910-7222JEAN EDUARDO DE SOUSA CARVALHO DEZENAhttps://orcid.org/0009-0005-6159-8549CHRISTIAN LUIZ BAPTISTA GERBELLIhttps://orcid.org/0000-0001-5542-6795TIAGO KIYOSHI KITABAYASHI BRAGAhttps://orcid.org/0000-0002-6476-7978TELMO AUGUSTO BARBA BELSUZARRIhttps://orcid.org/0000-0001-6173-3193ENRICO AFFONSO BARLETTAhttps://orcid.org/0000-0002-1457-430XSERGIO CAVALHEIROhttps://orcid.org/0000-0002-9750-0508ANDREI FERNANDES JOAQUIMhttps://orcid.org/0000-0003-2645-0483ABSTRACT The anterior cervical discectomy and fusion is considered an established technique in cervical degenerative disease treatment, in which the final goal is the fusion of the segments involved. There are options for spacer grafts, such as bone grafts and synthetic bone substitutes like hydroxyapatite and tricalcium phosphate. This technical note describes the combination of the stand-alone anchored intervertebral spacer and iliac graft, which is used as a pillar between the vertebrae. The iliac crest removal is performed with a 10 mm or 12 mm diameter trephine. The trephine is employed to make a graft in the same format as the inner portion of the intervertebral spacer. The cylindrical bone graft removed must be 1 millimeter higher than the cage that will be implanted so that it is 0.5 mm above and below the upper and lower edges of the cage. The objective is to establish support between the vertebral plateaus and the bone cylinder, as they present similar resistance and biological aspects, which are fundamental characteristics for proper osseointegration and fusion. When the conventional technique is used, the interaction between the cage and the plateaus occurs more intensely, and a plateau fracture may occur, a phenomenon known as subsidence. This technical note describes a feasible way to obtain autograft bone to be used in ACDF stand-alone surgery. This type of graft may be associated with lower rates of pseudoarthrosis. Level of Evidence IV; Case Series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512024000301000&lng=en&tlng=enDiskectomyIliac CrestTransplantationAutologousSurgical ProceduresOperative |
| spellingShingle | EDUARDO AUGUSTO IUNES JEAN EDUARDO DE SOUSA CARVALHO DEZENA CHRISTIAN LUIZ BAPTISTA GERBELLI TIAGO KIYOSHI KITABAYASHI BRAGA TELMO AUGUSTO BARBA BELSUZARRI ENRICO AFFONSO BARLETTA SERGIO CAVALHEIRO ANDREI FERNANDES JOAQUIM ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORT Coluna/Columna Diskectomy Iliac Crest Transplantation Autologous Surgical Procedures Operative |
| title | ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORT |
| title_full | ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORT |
| title_fullStr | ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORT |
| title_full_unstemmed | ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORT |
| title_short | ANTERIOR CERVICAL ARTHRODESIS WITH INTERVERTEBRAL SPACER AND CYLINDRIC BONE SUPPORT |
| title_sort | anterior cervical arthrodesis with intervertebral spacer and cylindric bone support |
| topic | Diskectomy Iliac Crest Transplantation Autologous Surgical Procedures Operative |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512024000301000&lng=en&tlng=en |
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