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Comparative Studies | Neuroscience | India | Volume 12 Issue 10, October 2023 | Popularity: 6 / 10

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Comparative Analysis of Interbody Cages versus Tricortical Graft in Isolated Traumatic Cervical Spine Injury Patients

Dr. Swapnesh Chindhalore, Dr. G M Niban, Dr. R R Ramkumar, Dr. Akansha Waghmare

Abstract: Introduction: Cervical spine injuries are becoming very common which can result in significant and long - term disabilities. There are many different techniques and modalities of fixation which is used in anterior cervical discectomy and interbody fusion in traumatic cervical spine injury. Each procedures have their own merits and demerits. Such variety of techniques reflects a lack of consensus method to be performed to get the uniformity in the outcome. Aims and objectives: Prospective study was done to analyse safety and efficacy of tricortical autograft (Group A) and cylindrical titanium cage filled with cancellous bone (Group B) in procedure of ACDF for single level cervical discectomy in traumatic cervical spine injury patients. Materials and methods: Twenty four patients with traumatic cervical spine injury with single level disc protrusion selected for the study. Computer generated randomization done and twelve patients were operated with tricorticate iliac crest graft (Group A) while twelve patients were operated with stand alone titanium cages filled with cancellous bone from January 2020 to January 2022. Odoms criteria, Sequential radiographs and visual pain analogue score obtained to assess the clinicoradiological outcome. Results: Functional assessment done by Odoms System shows in each group about 84 % of the patients satisfied with outcome. In both the groups no obvious statistical difference found which is assessed by visual analogue score. Fusion was present in 92 % of patients in tricortical graft group and 84 in Cage group after the 6 month of follow up. In tricorticate group Graft collapse was seen in 1 patient while in titanium cage group 1 patient shows anterior extrusion of cage which required revision surgery. Conclusion: Use of tricortical bone and the titanium cage both shows adequate stability and reliable functional outcome in traumatic cervical spine injury. Titanium cage for the cervical fusion constitute an efficient alternative to tricortical autograft.

Keywords: Anterior Cervical Discectomy and Fusion, Cervical spine injury, Tricortical iliac graft, Titanium cage, Neurosurgery

Edition: Volume 12 Issue 10, October 2023

Pages: 1060 - 1064

DOI: https://www.doi.org/10.21275/SR231012131249

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