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Titolo:
Anterior interbody fusion of the cervical spine with coralline hydroxyapatite
Autore:
Thalgott, JS; Fritts, K; Giuffre, JM; Timlin, M;
Indirizzi:
Int Spinal Dev & Res Fdn, Las Vegas, NV 89106 USA Int Spinal Dev & Res Fdn Las Vegas NV USA 89106 , Las Vegas, NV 89106 USA Univ Nevada, Sch Med, Las Vegas, NV 89154 USA Univ Nevada Las Vegas NV USA 89154 vada, Sch Med, Las Vegas, NV 89154 USA
Titolo Testata:
SPINE
fascicolo: 13, volume: 24, anno: 1999,
pagine: 1295 - 1299
SICI:
0362-2436(19990701)24:13<1295:AIFOTC>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
BONE-GRAFT; PLATE STABILIZATION; ILIAC BONE; DISKECTOMY;
Keywords:
anterior interbody fusion; cervical spine; coralline hydroxyapatite;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Thalgott, JS Int Spinal Dev & Res Fdn, 500 S Rancho Dr,Suite 8A, Las Vegas, NV 89106 USA Int Spinal Dev & Res Fdn 500 S Rancho Dr,Suite 8A Las Vegas NV USA 89106
Citazione:
J.S. Thalgott et al., "Anterior interbody fusion of the cervical spine with coralline hydroxyapatite", SPINE, 24(13), 1999, pp. 1295-1299

Abstract

Study Design. A nonrandomized, retrospective human study of patients requiring anterior discectomy and reconstruction from C3 to T1. The pattern of incorporation, presence or absence of disc space collapse, maintenance of correction, and clinical outcomes were considered. Objective. To determine the efficacy of coralline hydroxyapatite as a bonereplacement in anterior interbody fusions of the cervical spine used in conjunction with rigid Plate fixation. Summary of the Background Data. Autograft is the gold standard for anterior interbody fusion of the cervical spine. Reported complication and morbidity rates with the use of autograft are as high as 21%. Using allograft instead of autograft presents numerous problems including lower rates of fusion. Other bone substitutes such as ceramics and polymethylmethacrylate are ineffective for fusion. Methods. Twenty-six skeletally mature patients underwent anterior decompression, stabilization, microdiscectomy, and reconstruction with Pro Osteon 200 (Interpore Cross International, Irvine, CA) coralline hydroxyapatite andAO anterior cervical locking plates. Iliac crest autograft, local bone, and allograft were not used. Results. The minimum follow-up period was 2 years (average, 30 months). There was no evidence of plate breakage, screw breakage, resorption of the implant, or pseudarthrosis. Two patterns of incorporation were identified. The implant incorporated totally in 100% of the disc spaces. Average hospitalslay was 1.6 days. The average decrease in pain was 75.8%. There was no evidence of nonunion. Conclusions. The use of Pro Osteon 200 with rigid anterior plating seems promising as a bone replacement in the cervical spine. The incorporation rate is exceedingly high, and the complication rate nonexistent.

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Documento generato il 03/07/20 alle ore 01:26:07