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

Işık, Metin; Özdemir, Hacı Mustafa; Sakaogullari, Abdurrahman; Cengiz, Bertan; Aydoğan, Nevres Hürriyet

doi:10.3906/sag-1703-166

Cited by 6 publications

(4 citation statements)

References 40 publications

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“…Based on the research results, the allograft can be used instead of autograft. Since the non-union and lack of local bone are serious problems in the treatment of trauma patients with long bone fractures, the use of bone grafts is essential for higher stabilization and biological repair [10]. The rate and speed of union and return to everyday activity are important in treating patients with bone fractures.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Outcome of Bone Autograft and Allograft in Union of Long Bone Fractures

Valiyollahpoor-Amiri

Esmaeilnejad-Ganji

Jokar

et al. 2021

Acta Medica Bulgarica

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Background and Purpose There are few studies addressing the rate of application of bone allograft and its use; hence, the present study aimed to compare the clinical outcomes of using bone allograft and autograft in patients with long bone fracture. Method In this clinical trial study, all patients who underwent bone graft surgery with the diagnosed long bone fractures of upper and lower limbs at Shahid Beheshti Hospital were included in the research. Patients were divided into two groups, autograft and allograft, according to type of treatment. They were evaluated for their union, complications, and range of motion. Results In the present study, 124 people were studied. Among them, 100 patients were eligible and included in the study. The allograft and autograft groups did not have any statistical significant differences in terms of age, sex, location, causes of fracture, and surgical methods. Results of the present research on patients in terms of fracture site indicated that there was no significant relationship between the two groups in rate of union (P = 0.18). Allograft and autograft had no difference in terms of complications. Studied range of motion indicated that patients were not different in terms of their ranges of motion. Conclusion Based on findings of the present study, allograft could be a suitable substitute for the autograft. The two graft methods were similar in terms of complications, union, and ranges of motion.

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Section: Discussionmentioning

confidence: 99%

Comparison of Outcome of Bone Autograft and Allograft in Union of Long Bone Fractures

Valiyollahpoor-Amiri

Esmaeilnejad-Ganji

Jokar

et al. 2021

Acta Medica Bulgarica

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“…Careful and thorough decortication across the levels of fusion and adequate use of bone graft will reduce the risk of pseudarthrosis [ 99 ]. Pseudarthrosis may also occur due to inadequate spinal balance, unfavourable forces at osteotomy sites or insufficient stability, especially at the lumbosacral junction and fixation to the pelvis.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Paediatric Spinal Deformity Surgery: Complications and Their Management

Roberts

2022

Healthcare

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Surgical correction of paediatric spinal deformity is associated with risks, adverse events, and complications that must be preoperatively discussed with patients and their families to inform treatment decisions, expectations, and long-term outcomes. The incidence of complications varies in relation to the underlying aetiology of spinal deformity and surgical procedure. Intraoperative complications include bleeding, neurological injury, and those related to positioning. Postoperative complications include persistent pain, surgical site infection, venous thromboembolism, pulmonary complications, superior mesenteric artery syndrome, and also pseudarthrosis and implant failure, proximal junctional kyphosis, crankshaft phenomenon, and adding-on deformity, which may necessitate revision surgery. Interventions included in enhanced recovery after surgery protocols may reduce the incidence of complications. Complications must be diagnosed, investigated and managed expeditiously to prevent further deterioration and to ensure optimal outcomes. This review summarises the complications associated with paediatric spinal deformity surgery and their management.

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“…In such cases, the use of large bone blocks for interbody fusion is a good choice because the elastic modulus of the bone block is lower than that of the cage, which may reduce the above complications [ 20 – 22 ]. Furthermore, the use of bone blocks can reduce hospitalization costs [ 23 , 24 ]. Nevertheless, whether PEEK rods function well and have the potential to serve as an alternative to Ti rods in the absence of a cage remains unreported.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical comparison of polyetheretherketone rods and titanium alloy rods in transforaminal lumbar interbody fusion: a finite element analysis

Li,

Cao,

Zhao

2024

BMC Surg

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Background Whether polyetheretherketone (PEEK) rods have potential as an alternative to titanium alloy (Ti) rods in transforaminal lumbar interbody fusion (TLIF) remains unclear, especially in cases with insufficient anterior support due to the absence of a cage. The purpose of this study was to investigate biomechanical differences between PEEK rods and Ti rods in TLIF with and without a cage. Methods An intact L1-L5 lumbar finite element model was constructed and validated. Accordingly, four TLIF models were developed: (1) Ti rods with a cage; (2) PEEK rods with a cage; (3) Ti rods without a cage; and (4) PEEK rods without a cage. The biomechanical properties were then compared among the four TLIF constructs. Results With or without a cage, no obvious differences were found in the effect of PEEK rods and Ti rods on the range of motion, adjacent disc stress, and adjacent facet joint force. Compared to Ti rods, PEEK rods increase the average bone graft strain (270.8-6055.2 µE vs. 319.0-8751.6 µE). Moreover, PEEK rods reduced the stresses on the screw-rod system (23.1–96.0 MPa vs. 7.2–48.4 MPa) but increased the stresses on the cage (4.6–35.2 MPa vs. 5.6–40.9 MPa) and endplates (5.7–32.5 MPa vs. 6.6–37.6 MPa). Conclusions Regardless of whether a cage was used for TLIF, PEEK rods theoretically have the potential to serve as an alternative to Ti rods because they may provide certain stability, increase the bone graft strain, and reduce the posterior instrumentation stress, which might promote bony fusion and decrease instrumentation failure.

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

Cited by 6 publications

References 40 publications

Comparison of Outcome of Bone Autograft and Allograft in Union of Long Bone Fractures

Comparison of Outcome of Bone Autograft and Allograft in Union of Long Bone Fractures

Paediatric Spinal Deformity Surgery: Complications and Their Management

Biomechanical comparison of polyetheretherketone rods and titanium alloy rods in transforaminal lumbar interbody fusion: a finite element analysis

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