Aim: Anterior Cervical Discectomy and Fusion (ACDF) surgery is a day care surgery in western countries.

To achieve solid fusion in acdf surgery several methods like autogenous bone grft from Iliac crest, artificial G-bone graft, bone graft harvested from adjacent  peripheral osteophytes  are used. Even though autogenous iliac bone grafting method is the gold standard one, it is associated with donor site morbidity, G-bone grafts are associated with variable fusion rate and osteophyte bone grafting alone is inadequate to fill the spacer or cage to bridge the adjacent vertebral end plates. We are presenting our novel method of bone  grafting technique in the form of Gel foam ball made with Gel foam, blood, and bone dust harvested from osteophytes used to fill the inter body fusion cage during surgery with satisfactory fusion rate. We consider this easy and new method is a viable alternative to traditional bone grafting techniques in view of no donar site morbidity, post operative complications and good fusion rate.

Keywords: ACDF, Iliac bone graft, Bone graft substitutes, Gel foam.

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Bagby GW. Arthrodesis by the distraction-compression method using a stainless steel implant. Orthopaedics 1988;11:931-4.

P Pallavan. M.ch

Neuro surgery Post graduate

Government Stanley Medical College, Chennai, Tamilnadu, India