Iliac crest reconstruction with a bioactive ceramic spacer

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Manabu ItoK Kaneda

Abstract

This study aimed to investigate the long-term clinical results of the apatite wollastonite-containing glass ceramic (AWGC) iliac spacer and to discuss its efficacy in reconstruction of the bone graft donor site at the iliac crest. Thirty-one patients were studied for more than 10 years. All patients underwent anterior spinal fusion using autogenous tricortical iliac bone graft. After harvest of tricortical iliac bone graft, an AWGC iliac spacer ranging from 15 mm to 70 mm in length was press-fitted into the gap. Long-term clinical results were obtained from radiological and blood examinations. Thirty patients (97%) were satisfied with the spacer. There was new bone formation around the spacer on the radiograph. There was no abnormal silicon concentration in blood examinations. AWGC iliac spacer appears to be useful in the reconstruction of harvested iliac crest. New bone formation occurs, reducing the defect size.

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Citations

Jun 26, 2012·International Orthopaedics·Konstantinos G MakridisPeter V Giannoudis
Feb 20, 2009·Archives of Orthopaedic and Trauma Surgery·Pavel SponerPradeep George Mathew
Aug 5, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Joseph Richard Dusseldorp, Ralph J Mobbs
Dec 1, 2009·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·N KolomvosO Schoinohoriti
Sep 6, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Soung Min KimMyung Jin Kim
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May 30, 2006·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Ronald W LindseyLoren L Latta
Dec 2, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·P Zermatten, M Wettstein
Oct 27, 2012·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Yang YanYincheng Teng
Feb 4, 2010·Journal of Spinal Disorders & Techniques·Narayana K AcharyaVenugopal K Menon

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