الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
Degenerative disc and ligamentous diseases of the cervical spine are thought to represent anatomic adaptation to the continuous wear and tear of the involoved structures.This process leads to structural changes in the involved joints, with thickening and calcification of the ligaments and appositional bone formation. Cervical spondylosis is a commonly used term to describe these degenerative changes .
Anterior cervical discectomy and fusion with an autogenous iliac bone graft is the gold standard treatment for cervical disc herniation. However, autologous bone grafts obtained from the anterior iliac crest are associated with significant donor-site morbidity and complications. To decrease bone graft-related problems, several types of interbody fusion cage have been developed and are used widely in clinical practice.
In this study we compared the clinical and radiological outcomes for two surgical procedures used to treat cervical disc herniation: the stand-alone interbody cage and autologous iliac bone grafting with an anterior plate.30 patients were included in this study 17 underwent cervical discectomy and cervical fusion by cage and 13 patients underwent cervical discectomy and bone graft and plating.
The clinical results did not differ between patients treated with the two procedures. The stand-alone cage was less invasive , had less donor-site morbidity and with shorter operative time. Although the stand-alone cage was a less invasive and more effective procedure to treat cervical disc herniation, surgeons should consider the possible drawbacks of the associated subsidence as we had 5.8% of cage patients experienced subsidence more than 3 mm.