The Application Of Bony Allograft Fibula Ring Plus Osteophytes In Anterior Cervical Decompression And Fusion

Objective:To investigate the clinical results of bony allograft fibula ring plus osteophytes in anterior cervical decompression and fusion surgery.Methods:42patients with cervical spondylosis were treated with anterior cervical decompression and fusion with plate fixation. The decompressed osteophytes were implanted into the allograft fibular ring, and compacted. The allograft fibula ring was implanted into the intervertebral disc, and fixed by the plate.34cases of postoperative patients achieved complete follow-up. The assessment of the effect of surgery was based on the Oswestry Disability Index (ODI), SF-36quality of life score, visual analog pain scale (VAS), disc height, cervical lordosis and clinical effect of the fine rate; the stability and synostosis rate of the cervical spine were assessed by dynamic digital X-rays.Results:34patients were followed up, all the incisions got the primary healing, the average length of stay8.8days, surgery were not found to have vertebral artery injury, spinal cord and nerve root injury, cerebrospinal fluid leakage and fibula ring off crack. Mean follow-up time was38.8months, the Oswestry Disability Index (ODI) and VAS scores of patients was significantly reduced; the SF-36scores was significantly improved, and so was the health status of patients; the intervertebral height and the cervical lordosis had been effectively recovered. At the time of the last follow-up, the synostosis rate of the single and the double segment intervertebral was respectively100%and94.74%.Conclusion:The bony allograft fibular ring plus osteophytes in anterior cervical decompression and fusion can achieved satisfactory fusion effect and clinical results, which can be applied in clinical practice.