Outcome of local bone versus autogenous iliac crest bone graft in the instrumented posterolateral fusion of the lumbar spine

Spine
Dilip K SenguptaHarry Herkowitz

Abstract

Retrospective, comparative study of clinical and radiologic outcome with independent, blinded observer. To compare the clinical and radiologic outcome of instrumented posterolateral lumbar fusion using local bone versus autogenous iliac crest bone graft (ICBG). There is no published report of outcome of posterolateral spinal fusion using local bone alone for degenerative disorders of the lumbar spine. Seventy-six cases (male 26, female 50) of spinal stenosis, operated during 1996 and 1997 by the senior author, were reviewed. All the cases had decompression and posterior spinal fusion with pedicle screw instrumentation. Forty cases had only local bone graft obtained from decompression, morselized in a bone mill, and 36 cases had autogenous ICBG. Mean age was 60 years (range, 27-83 years). Fusion was performed at one level in 51 (67%), two levels in 16 (21%), three levels in 5 (7%), and four or more levels in 4 cases (5%). Minimum follow-up was 2-years (mean, 28 years; range, 24-72 months). An independent, blinded radiologist rated plain radiographs as fused, indeterminate, or nonunion. There was no difference in age, sex, and diagnosis between the two groups. Overall fusion rate was higher in the ICBG group (75%, 27 of 36) compa...Continue Reading

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Citations

Dec 19, 2008·Der Orthopäde·T LernerU Liljenqvist
Dec 17, 2008·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·Thomas LernerUlf Liljenqvist
Dec 18, 2010·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·Seiji OhtoriKazuhisa Takahashi
Oct 1, 2011·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·Caspar Edward William AylottCameron Walker
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Jan 31, 2013·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·Zenya ItoNaoki Ishiguro
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