An Alternative Technic for Cervical Fusion, Circularly Placed Bone Graft: Technical Note

Abstract

Despite the highly developed spinal implants and surgical techniques in spinal stabilization, fusion failure is still the most important problem today. Among the factors that play a role in the success of spinal fusion, are type of graft material, contact of the fusion area with the graft tissue on the widest possible surface, good blood supply of the ends of the bone tissue that will fuse with the surrounding muscle and soft tissue, prevention of the movement of bone tissues that will be fused and placement of appropriate graft tissue in the targeted area for fusion. Therefore, we have developed and evaluated the radiological and clinical follow-up of an alternative cage - graft placement technique aimed at creating a large bone-graft area, which is one of the main conditions for the formation of fusion, and using it. In this new alternative technique we applied, we observed that the graft material that contacted the anterior and lateral faces of the cervical corpectomy cage with plates and completely filled them in a circular style formed a radiologically circular-style bone fusion after placement in this way. We believe that this graft placement will reduce possible instability.