チタンケージを用いた頚椎前方固定術における骨採取の工夫 : 胸骨採取法について

概要

論文の詳細を見る
Iliac crest bone graft harvesting is commonly used for anterior cervical fusion, but the donor site problem must not be ignored. Various techniques were developed to avoid donor site morbidity. In this study we introduced manubrium bone graft harvesting in anterior cervical fusion with a titanium cage. In 41 patients who underwent anterior cervical fusion, we harvested bone grafts for filling up the titanium cage from the manubrium bone. There was no donor site complication. Good fusion was obtained in all patients after six months. In this procedure, we must pay great attention to avoid injuries of adjacent major vessels and organs. A disadvantage of this method is the cosmetic matter for women because of the low-necked scarring. In conclusion, we think that the manubrium bone is a preferable graft harvesting site for anterior cervical fusion with titanium cage from the point of view of avoiding donor site morbidity.
日本脊髄外科学会の論文