Anatomic and Morphometric Analysis of Manubrium Sterni as a Source of Autograft for Anterior Cervical Fusion Surgery Using Quantitative 3-Dimensional Computed Tomographic Scans
Xiu P et al. – The size of male manubrium is significantly larger than that of female manubrium. Manubrium bone is far more sufficient for most adult anterior cervical fusion surgeries. Safe area for procurement of graft is defined as the upper two–thirds of manubrium, and the optimal site to access medullar cavity is suggested at bare area. However, because considerable variability of manubrium size exists, preoperative evaluation of manubrium is suggested to avoid pitfalls, especially when manubrium graft is intended in a female patient.