The use of fibular grafts with anterior cervical fusion

Anterior cervical fusion utilizing an iliac-crest graft is often associated with pain at the donor site and graft collapse or dislocation. These problems were overcome by a surgical technique using circular fresh-frozen fibular grafts. This provides the strongest possible graft, and affords an opportunity to combine autogenous with homologous bone. There is minimal risk of infection, and the grafts can be soaked in an antibiotic solution as an added precaution. The technique is relatively easy, and postoperative results with regard to graft integrity, restoration of function, and resolution of pain are excellent.