Anterior lumbar interbody fusion using a hybrid graft
El-Masry, M.A.; Katsochis, A.; Badawy, W.S.; el-Hawary, Y.K.
Acta Orthopaedica Belgica 70(4): 332-336
2004
ISSN/ISBN: 0001-6462 PMID: 15481417 Document Number: 583043
This prospective study evaluates the clinical and radiological results of anterior lumbar interbody fusion using a femoral cortical ring allograft (FCA) packed with cancellous autologous bone (hybrid graft), combined with posterior pedicular fixation but without posterior fusion, for symptomatic degenerative disease of the lumbar spine. Twenty-eight out of 30 consecutive adult patients were followed up for a minimum period of 2 years. Intra- and postoperative complications were seen in 2 out of 28 patients (7%); no complications resulted from the allografts. Clinically, 24 out of 28 patients (85%) had a good to excellent result, one patient (4%) a fair result, and 3 patients (11%) a poor result. Radiologically, the overall fusion rate by the level was 98% in 28 patients.