Local Autograft Bone in the Surgical Management of Adolescent Idiopathic Scoliosis

Violas, Philippe; Chapuis, Margot; Bracq, H

doi:10.1097/01.brs.0000105536.65164.b1

Cited by 51 publications

(39 citation statements)

References 20 publications

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“…Successful fusion has been reported using local bone alone for long posterolateral fusion in adolescent idiopathic scoliosis [10]. Local in situ autografts in instrumented posterolateral fusion of the lower lumbar or lumbosacral spine for treating degenerative spondylolisthesis have been evaluated [6].…”

Section: Introductionmentioning

confidence: 99%

Single-level instrumented posterolateral fusion of the lumbar spine with a local bone graft versus an iliac crest bone graft: a prospective, randomized study with a 2-year follow-up

et al. 2010

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The iliac crest bone grafting (ICBG) technique for lumbar posterolateral fusion surgery is widely used; however, donor site problems such as pain and sensory disturbance have been reported. Local bone is available for fusion surgery, but its reliability as a graft has not been fully reported. In the current study, we examined singlelevel instrumented posterolateral fusion with a local bone graft versus an ICBG in a prospective randomized study. Eighty-two patients diagnosed with L4 degenerated spondylolisthesis were divided into two groups at random. Forty-two patients underwent instrumented posterolateral fusion with a local bone graft (L4-L5 level), and 40 patients underwent instrumented posterolateral fusion with an ICBG (L4-L5 level). Rate and duration of bone union, visual analog scale (VAS) score, Japanese orthopedic association score (JOAS), Oswestry Disability Index (ODI), and complications were evaluated before and 2 years after therapy. VAS score, JOAS, and ODI were not significantly different between the two groups before and after surgery (P [ 0.05). Rate and average duration of bone union were 90% and 8.5 months in the local bone graft group, and 85% and 7.7 months in the ICBG group, but without significant difference (P [ 0.05). Prolonged surgical time and complications such as donor site pain (8 patients) and sensory disturbance (6 patients) were observed in the ICBG group. If single-level posterolateral fusion was performed, local bone graft technique has the same bone union rate compared with ICBG, requires less surgical time, and has fewer complications.

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Section: Introductionmentioning

confidence: 99%

Single-level instrumented posterolateral fusion of the lumbar spine with a local bone graft versus an iliac crest bone graft: a prospective, randomized study with a 2-year follow-up

et al. 2010

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“…With iliac crest bone harvest, various authors have reported on the occurrence of major or minor complications ranging from 1 to 39 %, which include hematoma, infection, prolonged chronic pain and sensory deficit [6][7][8] Recently local bone obtained through laminectomy has been reportedly used as standalone graft in PLIF procedures showing comparable fusion rates to autologous iliac bone. If true, this could potentially avoid the donor site complications of an iliac crest harvest [9][10][11]. The purpose of this study is to identify if the bone fusion rates differ between the two groups by examining X-ray images taken at interval follow-up.…”

Section: Introductionmentioning

confidence: 99%

Bone union rate with autologous iliac bone versus local bone graft in posterior lumbar interbody fusion (PLIF): a multicenter study

et al. 2013

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Purpose The purpose of this study is to compare bone union rate between autologous iliac bone and local bone graft in patients treated by posterior lumbar interbody fusion (PLIF) using carbon cage for single level interbody fusion. Methods The subjects were 106 patients whose course could be observed for at least 2 years. The diagnosis was lumbar spinal canal stenosis in 46 patients, herniated lumbar disk in 12 patients and degenerative spondylolisthesis in 51 patients. Single interbody PLIF was done using iliac bone graft in 53 patients and local bone graft in 56 patients. Existence of pseudo-arthrosis on X-P (AP and lateral view) was investigated during the same follow up period.Results No significant differences were found in operation time and blood loss. Significant differences were also not observed in fusion grade at any follow up period or in fusion progression between the two groups. Donor site pain continued for more than 3 months in five cases (9 %). The final fusion rate was 96.3 versus 98.3 %. Conclusions Almost the same results in fusion were obtained from both the local bone group and the autologous iliac bone group. Fusion progression was almost the same. Complications at donor sites were seen in 19 % of the cases. From the above results, it was concluded that local bone graft is as beneficial as autologous iliac bone graft for PLIF at a single level.

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“…The complication rate reported in the literature varies widely, ranging from 1% to 25 % for major complications and 9.4% to 39% for minor complications [2,8,18,21]. Major complications included large haematoma, wound infection, reoperation, unsightly scar, severe pain interfering with daily activity, and chronic pain limiting physical function [2,18,25]. Minor complications included dysaesthesia, prolonged wound drainage, and superficial infection [2,18,25].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, this procedure is accompanied by many complications because of longer operative time and greater blood loss [18,24]. Several studies have reported minor and major complications, with a wide range of incidences varying between 1% and 39% [2,8,18,20,25].…”

Section: Introductionmentioning

confidence: 99%

Autogenous iliac crest bone graft versus banked allograft bone in scoliosis surgery in patients with Duchenne muscular dystrophy

Nakazawa

Takaso

Imura

et al. 2009

International Orthopaedics (SICOT)

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A total of 36 consecutive nonambulatory DMD patients underwent scoliosis surgery. Patients were divided into two groups: the autogenous iliac crest bone graft group (the ICBG group; 20 patients) and the allogenous bone graft group (the ALBG group; 16 patients). The mean preoperative curves measured 87°and 31°at the last follow-up in the ICBG group and 83°and 28°in the ALBG group. In the ICBG group, three (15%) patients had intraoperative sacroiliac joint penetration, five (25%) had iliac crest inner cortex penetration and three (15%) had postoperative prolonged wound drainage at the donor site. At three months after surgery, donor site pain caused by bone harvest was found in 50% with severe pain limiting their physical function and causing difficulties in sitting in a wheelchair in 40% of the patients, whereas patients in the ALBG group returned to their preoperative level of function soon after surgery.

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Local Autograft Bone in the Surgical Management of Adolescent Idiopathic Scoliosis

Abstract: In adolescent idiopathic scoliosis surgery, local autograft bone allows to avoid the necessity of any over graft.

Cited by 51 publications

References 20 publications

Single-level instrumented posterolateral fusion of the lumbar spine with a local bone graft versus an iliac crest bone graft: a prospective, randomized study with a 2-year follow-up

Single-level instrumented posterolateral fusion of the lumbar spine with a local bone graft versus an iliac crest bone graft: a prospective, randomized study with a 2-year follow-up

Bone union rate with autologous iliac bone versus local bone graft in posterior lumbar interbody fusion (PLIF): a multicenter study

Autogenous iliac crest bone graft versus banked allograft bone in scoliosis surgery in patients with Duchenne muscular dystrophy

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