Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures

Cadaveric feasibility study

R. Shane Tubbs, Robert G. Louis, Christopher T. Wartmann, Jason L. Cormier, Blake E. Pearson, Marios Loukas, Mohammadali Mohajel Shoja, W. Jerry Oakes

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Graft sources for cervical fusion procedures include synthetic materials, donor grafts, and autologous bones such as the iliac crest. Considering the data that autologous bone grafts seem to generate the best results for fusion, the next logical step is to seek alternative donor sites so as to attempt to reduce the morbidity associated with these procedures. To our knowledge, autologous clavicle has not been explored as a potential source for cervical fusion. Therefore, the following study was performed to verify the utility of this bone for these procedures. Materials and methods: Seven adult cadavers were used for this study. In the supine position, a standard surgical approach and dissection to the anterior cervical spine were performed. Specimens underwent a standard discectomy or corpectomy with placement of harvested ipsilateral clavicle previously dissected. An anterior cervical plating system was next placed over these sites using standard techniques. Measurements of the harvested clavicle were made. Results: The results of our morphometric analysis were as follows: An average of 5 cm of bone was easily removed from the middle one third of the clavicle. No gross injury was found to vicinal neurovascular structures. The middle one third of the clavicle offered sufficient bone for the one to two segments fused in our study with remaining bone for at least two additional segments. The mean diameter of this part of the clavicle was 1.2 cm. Conclusions: Based on our cadaveric study, such a bony substitute as autologous clavicle might be a reasonable alternative to the iliac crest for use in anterior cervical fusion procedures.

Original languageEnglish (US)
Pages (from-to)337-341
Number of pages5
JournalChild's Nervous System
Volume24
Issue number3
DOIs
StatePublished - Mar 1 2008
Externally publishedYes

Fingerprint

Diskectomy
Clavicle
Feasibility Studies
Bone and Bones
Transplants
Tissue Donors
Supine Position
Cadaver
Dissection
Spine
Morbidity
Wounds and Injuries

Keywords

  • Bone graft
  • Cervical fusion
  • Spine surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Tubbs, R. S., Louis, R. G., Wartmann, C. T., Cormier, J. L., Pearson, B. E., Loukas, M., ... Oakes, W. J. (2008). Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures: Cadaveric feasibility study. Child's Nervous System, 24(3), 337-341. https://doi.org/10.1007/s00381-007-0433-3

Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures : Cadaveric feasibility study. / Tubbs, R. Shane; Louis, Robert G.; Wartmann, Christopher T.; Cormier, Jason L.; Pearson, Blake E.; Loukas, Marios; Mohajel Shoja, Mohammadali; Oakes, W. Jerry.

In: Child's Nervous System, Vol. 24, No. 3, 01.03.2008, p. 337-341.

Research output: Contribution to journalArticle

Tubbs, RS, Louis, RG, Wartmann, CT, Cormier, JL, Pearson, BE, Loukas, M, Mohajel Shoja, M & Oakes, WJ 2008, 'Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures: Cadaveric feasibility study', Child's Nervous System, vol. 24, no. 3, pp. 337-341. https://doi.org/10.1007/s00381-007-0433-3
Tubbs, R. Shane ; Louis, Robert G. ; Wartmann, Christopher T. ; Cormier, Jason L. ; Pearson, Blake E. ; Loukas, Marios ; Mohajel Shoja, Mohammadali ; Oakes, W. Jerry. / Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures : Cadaveric feasibility study. In: Child's Nervous System. 2008 ; Vol. 24, No. 3. pp. 337-341.
@article{d089bff36ddb40bb9e23f05e7d723f66,
title = "Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures: Cadaveric feasibility study",
abstract = "Introduction: Graft sources for cervical fusion procedures include synthetic materials, donor grafts, and autologous bones such as the iliac crest. Considering the data that autologous bone grafts seem to generate the best results for fusion, the next logical step is to seek alternative donor sites so as to attempt to reduce the morbidity associated with these procedures. To our knowledge, autologous clavicle has not been explored as a potential source for cervical fusion. Therefore, the following study was performed to verify the utility of this bone for these procedures. Materials and methods: Seven adult cadavers were used for this study. In the supine position, a standard surgical approach and dissection to the anterior cervical spine were performed. Specimens underwent a standard discectomy or corpectomy with placement of harvested ipsilateral clavicle previously dissected. An anterior cervical plating system was next placed over these sites using standard techniques. Measurements of the harvested clavicle were made. Results: The results of our morphometric analysis were as follows: An average of 5 cm of bone was easily removed from the middle one third of the clavicle. No gross injury was found to vicinal neurovascular structures. The middle one third of the clavicle offered sufficient bone for the one to two segments fused in our study with remaining bone for at least two additional segments. The mean diameter of this part of the clavicle was 1.2 cm. Conclusions: Based on our cadaveric study, such a bony substitute as autologous clavicle might be a reasonable alternative to the iliac crest for use in anterior cervical fusion procedures.",
keywords = "Bone graft, Cervical fusion, Spine surgery",
author = "Tubbs, {R. Shane} and Louis, {Robert G.} and Wartmann, {Christopher T.} and Cormier, {Jason L.} and Pearson, {Blake E.} and Marios Loukas and {Mohajel Shoja}, Mohammadali and Oakes, {W. Jerry}",
year = "2008",
month = "3",
day = "1",
doi = "10.1007/s00381-007-0433-3",
language = "English (US)",
volume = "24",
pages = "337--341",
journal = "Child's Nervous System",
issn = "0256-7040",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Use of the clavicle in anterior cervical discectomy/corpectomy fusion procedures

T2 - Cadaveric feasibility study

AU - Tubbs, R. Shane

AU - Louis, Robert G.

AU - Wartmann, Christopher T.

AU - Cormier, Jason L.

AU - Pearson, Blake E.

AU - Loukas, Marios

AU - Mohajel Shoja, Mohammadali

AU - Oakes, W. Jerry

PY - 2008/3/1

Y1 - 2008/3/1

N2 - Introduction: Graft sources for cervical fusion procedures include synthetic materials, donor grafts, and autologous bones such as the iliac crest. Considering the data that autologous bone grafts seem to generate the best results for fusion, the next logical step is to seek alternative donor sites so as to attempt to reduce the morbidity associated with these procedures. To our knowledge, autologous clavicle has not been explored as a potential source for cervical fusion. Therefore, the following study was performed to verify the utility of this bone for these procedures. Materials and methods: Seven adult cadavers were used for this study. In the supine position, a standard surgical approach and dissection to the anterior cervical spine were performed. Specimens underwent a standard discectomy or corpectomy with placement of harvested ipsilateral clavicle previously dissected. An anterior cervical plating system was next placed over these sites using standard techniques. Measurements of the harvested clavicle were made. Results: The results of our morphometric analysis were as follows: An average of 5 cm of bone was easily removed from the middle one third of the clavicle. No gross injury was found to vicinal neurovascular structures. The middle one third of the clavicle offered sufficient bone for the one to two segments fused in our study with remaining bone for at least two additional segments. The mean diameter of this part of the clavicle was 1.2 cm. Conclusions: Based on our cadaveric study, such a bony substitute as autologous clavicle might be a reasonable alternative to the iliac crest for use in anterior cervical fusion procedures.

AB - Introduction: Graft sources for cervical fusion procedures include synthetic materials, donor grafts, and autologous bones such as the iliac crest. Considering the data that autologous bone grafts seem to generate the best results for fusion, the next logical step is to seek alternative donor sites so as to attempt to reduce the morbidity associated with these procedures. To our knowledge, autologous clavicle has not been explored as a potential source for cervical fusion. Therefore, the following study was performed to verify the utility of this bone for these procedures. Materials and methods: Seven adult cadavers were used for this study. In the supine position, a standard surgical approach and dissection to the anterior cervical spine were performed. Specimens underwent a standard discectomy or corpectomy with placement of harvested ipsilateral clavicle previously dissected. An anterior cervical plating system was next placed over these sites using standard techniques. Measurements of the harvested clavicle were made. Results: The results of our morphometric analysis were as follows: An average of 5 cm of bone was easily removed from the middle one third of the clavicle. No gross injury was found to vicinal neurovascular structures. The middle one third of the clavicle offered sufficient bone for the one to two segments fused in our study with remaining bone for at least two additional segments. The mean diameter of this part of the clavicle was 1.2 cm. Conclusions: Based on our cadaveric study, such a bony substitute as autologous clavicle might be a reasonable alternative to the iliac crest for use in anterior cervical fusion procedures.

KW - Bone graft

KW - Cervical fusion

KW - Spine surgery

UR - http://www.scopus.com/inward/record.url?scp=39049084750&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=39049084750&partnerID=8YFLogxK

U2 - 10.1007/s00381-007-0433-3

DO - 10.1007/s00381-007-0433-3

M3 - Article

VL - 24

SP - 337

EP - 341

JO - Child's Nervous System

JF - Child's Nervous System

SN - 0256-7040

IS - 3

ER -