| Objective :The aim of this study was to assess the clinical efficiency of patients treated by anterior cervical interbody fusion(ACIF)using allograft bone,polyetheretherketone(PEEK)cage or autologous oiliac bone.Methods : We have reviewed a total of 63 patients diognosed herniation of cervical disc from 2011 September to 2013 June in Anhui Medical University NO.1 Affiliated Hospital.According to the difference of interbody,we divided them into three groups,“allograft bone”(group A),“polyetheretherketone(PEEK)cage”(group B)and “autologous oiliac bone”(group C).All patients were evaluated by age,sex,operation time,bleeding amount,complications,height of anterior border(HAB)and height of posterior border(HPB),Cobb angle,Japanese Orthopaedic Association(JOA)grade.Results: 1.Sixty-three patients with herniation of cervical disc were followed among 12-18 months.The rates of interbody fusion were 23.2%(group A),22.7%(group B),25.3%(group C)at 6 month follow-up.And the rates of interbody fusion were 86.3%(group A),81.5%(group B),88.3%(group C)at 1-year follow-up.2.Compare A with C,B with C,there were statistical significance(P<0.05)according to the operation time,bleeding amount,HAB/HPB and Cobb angle change,while the comparison between A and B had no statistical significance(P>0.05).3.One patient of group A appeared allograft bone fracture.One patient in group B occured secondary displacement.Four patents of group C suffered morbidity related to the harvest site.Conclusion: 1.For the HAB/HPB and cobb angle,the change of former were the most obvious in group C,while secondary in group A,and group B the lowest.2.The rate of interbody fusion of patients treated by ACIF using allograft bone,polyetheretherketone(PEEK)cage or autologous oiliac bone were approximately equivalent among them.And allograft bone or PEEK Cage seem to be an alternative to iliac crest bone graft. |
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