The Comparison of Autograft and Allograft Interbody Fusion in the Patients Operated by Using Cloward Fusion Technique for Cervical Trauma

Abstract

The neuroradiological data of 52 operated cases (18 female, 34 male) by using otograft and allograft Cloward fusion technique for traumatic cervical fracture was retrospectively investigated in the determination of postoperative clinical and neuroradiological success. In 28 (54%) cases, otograft harvested from iliac bone was used for graft material and remaining 24 (46%) cases were operated with allograft. The patients had been followed up for 6 months with periodical neurological examination and direct cervical X-ray. Normal cervical lordosis was found in 78% of the patient with autograft but 55% of patients with allograft. Reoperation rate for severe angulation was found in 4% of the patient with autograft and in 8% of patient with allograft. In conclusion; the postoperative neuroradiological results of autograft fusion in the patient with cervical trauma are seems to be more successful from those of patient operated by using allograft interbody fusion. The differences between these two group were statistically significant (p<0.05). Autolog bone graft harvested from iliac bone is cost-effective and safe material, and can be use for the patients with cervical trauma.