Comparison of Bone Grafts for Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis

Price, Charles T.; Connolly, John F.; Carantzas, Anthony C.; Ilyas, Imran

doi:10.1097/01.brs.0000058930.38079.24

Cited by 87 publications

(58 citation statements)

References 36 publications

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“…Major complications have been reported at a rate of 10% and minor complications at a rate of 39% of patients where iliac crest graft has been obtained (3,11). The most commonly reported complication (29%) following iliac crest graft is donor site pain (3,12). In the patients of Group 3 of the current study, where posterior iliac crest graft was used, left posterior iliac crest pain was observed for up to an average of 1 year postoperatively.…”

Section: Discussionmentioning

confidence: 84%

“…Iliac crest bone graft has been used as the gold standard in spinal fusion for many years because of its osteoinductive, osteoconductive, and osteogenic properties (3). However, many disadvantages including hemorrhage, neurological damage, gait disturbance, fracture, painful scar, cosmetic defects, prolongation of the operation time, and insufficient amount of graft have been reported in the literature (3,4,(11)(12)(13). Major complications have been reported at a rate of 10% and minor complications at a rate of 39% of patients where iliac crest graft has been obtained (3,11).…”

Section: Discussionmentioning

confidence: 99%

“…Many authors have reported that allograft might be an alternative to autogenous grafting in idiopathic scoliosis surgery in adolescents because of morbidity and complications related to grafts obtained from the iliac crest (3,4,(14)(15)(16)(17)(18). Since allografts lose all their living and important cells during sterilization, they are not osteogenic.…”

Section: Discussionmentioning

confidence: 99%

“…Although many types of grafting have been reported in the literature to obtain sufficient fusion, the most commonly adopted ones because of successful efficiency include the use of autogenous iliac crest graft and allograft (3)(4)(5)(6). Although many studies related to the successful and unsuccessful aspects of these grafting techniques have been conducted, there have been few studies related to the use of local autograft as a grafting technique and its efficiency (4,5).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The efficacy of in situ local autograft in adolescent idiopathic scoliosis surgery: a comparison of three different grafting methods

Işık¹,

Özdemir²,

Sakaogullari³

et al. 2017

Turk J Med Sci

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A prospective evaluation was made of 65 patients with AIS scheduled for posterior spinal fusion between 2009 and 2011. Randomization was performed by using allograft and local autograft for the first 21 patients, using only local graft for the next 22 patients, and using posterior iliac crest graft and local graft for the final 22 patients according to Background/aim: This study was performed to show the efficacy of in situ local autograft with a comparison of in situ local autograft, local autograft with allograft, and local autograft with posterior iliac crest autograft. Materials and methods:In this prospective randomized study, a total of 65 adolescent idiopathic scoliosis (AIS) patients were separated into 3 groups: Group 1 using local autograft and allograft, Group 2 using local autograft only, and Group 3 using local autograft and posterior iliac crest autograft. Posterior segmental instrumentation was also applied to all patients. The mean follow-up period was 28.5 months (range, 15-40 months). Pseudarthrosis was investigated with the multiplanar and three-dimensional images obtained using multislice computed tomography, thoracolumbar bone single-photon emission computed tomography, and three-phase regional and whole body bone scintigraphy.Results: Pseudarthrosis was not observed in any patient. Fusion was obtained in all patients at the end of the follow-up periods. Conclusion:Similar results were obtained in respect of fusion in all 3 groups. Without the use of additional grafts, sufficient fusion can be achieved with the use of local autograft alone for posterior spinal fusion in patients with AIS.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The efficacy of in situ local autograft in adolescent idiopathic scoliosis surgery: a comparison of three different grafting methods

Işık¹,

Özdemir²,

Sakaogullari³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…Allografts were the first alternatives for autografts, which were subsequently interchanged and/or replaced by demineralized bone matrix in certain [2,4,17,29,37]. Present trends indicate dramatic increases in the use of synthetic bone graft alternatives [18].…”

Section: Discussionmentioning

confidence: 99%

The Clinical Use of Allografts, Demineralized Bone Matrices, Synthetic Bone Graft Substitutes and Osteoinductive Growth Factors: A Survey Study

2005

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The emergence of new bone grafting options and alternatives has led to significant uncertainty when determining the most appropriate product for surgical procedures requiring bone graft in orthopedics. Allografts, demineralized bone matrices, synthetic bone graft substitutes, and osteoinductive growth factors are all viable options, yet there is a lack of data reporting clinical usage of these products. This correspondence reports on the use of bone grafting products at the Hospital for Special Surgery for a 27-month period and makes recommendations based on surgical usage, safety, and cost. Approximately half (48.6%) of all bone graft substitutes were implanted during spinal surgery. Arthroplasty, trauma, and foot/hand cases all used considerable amounts of bone grafting products as well (20.1%, 19.0%, 12.1%, respectively). Considerable differences were noticed in usage of bone grafting products among each orthopedic discipline. Of all bone graft substitutes used in arthroplasty, 14.4% were demineralized bone matrices, whereas 56.8% were allografts. Demineralized bone matrix grafts were used in 82% of trauma surgery and 89% of foot/hand cases. An increase in synthetic bone graft alternatives was noticed near the end of our investigation period.

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Adolescent Idiopathic Scoliosis—Operative Management

2011

Evidence‐Based Orthopedics

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Comparison of Bone Grafts for Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis

Cited by 87 publications

References 36 publications

The efficacy of in situ local autograft in adolescent idiopathic scoliosis surgery: a comparison of three different grafting methods

The efficacy of in situ local autograft in adolescent idiopathic scoliosis surgery: a comparison of three different grafting methods

The Clinical Use of Allografts, Demineralized Bone Matrices, Synthetic Bone Graft Substitutes and Osteoinductive Growth Factors: A Survey Study

Adolescent Idiopathic Scoliosis—Operative Management

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