McLain RF, et al. - The present study was conducted to assess surgical technique for a trephine graft harvest technique and evaluate perioperative complications/pain, long-term outcome, and patient satisfaction after anterior iliac crest bone graft (ICBG) harvest for anterior cervical fusion. Researchers included a total of 68 patients who had undergone anterior cervical discectomy and fusion, applying allograft spacers, had undergone ICBG harvest applying a 3.5 mm trephine by a minimally invasive approach. They examined perioperative complications, pain incidence, and the Visual Analog Scale. For the long-term follow-up, thirty consecutive patients were subsequently surveyed regarding pain, function, and satisfaction. Soft-tissue dissection, periosteal elevation, and cortical disruption were minimized by Trephine graft harvest. In this study group, the outcome using this technique eliminated perioperative complications and decreased pain in both perioperative and long-term evaluations. The data exhibited that in comparison with historical outcomes, trephine harvest gives sufficient graft with comparable or improved results relative to other minimally invasive approaches, and significantly improved relative to traditional open techniques.