Degenerative Diseases of the Cervical Spine by Alexander König & Uwe Spetzger

Author:Alexander König & Uwe Spetzger
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Fig. 7.11PMMA interposition after discectomy at C6/7. Minimal motions in comparison of flexion (a) and extension (b) in lateral functional X-ray studies due to a pseudarthrosis. Since the patient completely recovered from his C7 radicular syndrome, there was no indication for revision surgery

7.1.6 Autologous Iliac Crest Bone Graft and Anterior Plating

The classical surgical technique with implantation of a cylindrical bone graft from the iliac crest was established by Cloward (1958). Additional anterior plating was introduced to avoid secondary subsidence of the bone graft (Caspar et al. 1989; Hermann 1975). This classical surgical technique is still used in cases of osteochondrosis and/or disc herniation without instability in the Anglo-American countries.

Besides that, it is still a safe procedure in cases of degenerative instability with rupture of the intervertebral disc (Fig. 7.12). For the treatment of traumatic instability, a discectomy with interposition of an iliac crest bone graft and anterior plating is still the therapeutical gold standard.

Fig. 7.12Degenerative spinal instability at C7/T1 in lateral functional X-ray studies in flexion (a) and extension (b). Postoperative lateral X-ray image after fusion with a iliac crest bone graft and anterior plating (c)

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