ILIAC CREST VERSUS SPINOUS PROCESS GRAFTS IN POSTTRAUMATIC SPINAL FUSIONS

被引：16

作者：

KEENE, JS

MCKINLEY, NE

机构：

来源：

SPINE | 1992年 / 17卷 / 07期

关键词：

THORACOLUMBAR SPINE; POSTTRAUMATIC FUSION; SPINOUS PROCESS GRAFTS;

D O I：

10.1097/00007632-199207000-00011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Results of posttraumatic spine fusions in 34 patients who had autogenous iliac crest grafts were compared with those of 70 patients who had autogenous spinous process grafts. The two groups of patients were otherwise homogenous, and fusion occurred in 32 (94%) of the iliac crest graft patients and 70 (100%) spinous process graft patients. However, average operative time (225 vs. 200 minutes) and operative blood loss (1371 vs. 1136 cc) were significantly higher in iliac crest graft patients (P < 0.05), and five iliac crest graft patients had significant donor site complications. Use of spinous process grafts eliminated donor site problems, reduced operative time and blood loss, and produced a rate of arthrodesis equal to that of iliac crest grafts.

引用

页码：790 / 794

页数：5

共 19 条

[1]

Blackmore M.E., Fractures at cancellous bone graft donor sites, Injury, 14, pp. 519-522, (1983)

[2]

Challis J.H., Lyttle A., Stuart A.E., Strangulated lumbar hernia and volvulus following removal of iliac crest bone graft. A case report, Acta Orthop Scand, 46, pp. 230-233, (1975)

[3]

Cockin J., Autologous bone grafting-Complications at the donor site, J Bone Joint Surg, 53B, (1971)

[4]

Cohn B.T., Krackow K.A., Fracture of the iliac crest following bone grafting. A case report, Orthopedics, 11, pp. 473-474, (1988)

[5]

Convery F.R., Minteer M.A., Smith R.W., Emerson S.M., Fracture-dislocation of the dorsal-lumbar spine, Spine, 3, pp. 160-166, (1978)

[6]

Coventry M.B., Tapper E.M., Pelvic instability. A consequence of removing iliac bone for grafting, J Bone Joint Surg, 54A, pp. 83-101, (1972)

[7]

Dickson J.H., Harrington P.R., Erwin W.D., Results of reduction and stabilization of the severely fractured lumbar spine, J Bone Joint Surg, 60A, pp. 799-805, (1978)

[8]

Dodd C., Fergusson C.M., Freedman L., Houghton G.R., Thomas D., Allograft versus autograft bone in scoliosis surgery, J Bone Joint Surg, 70B, pp. 431-434, (1988)

[9]

Escalas F.E., Dewald R.L., Combined traumatic arteriovenous fistula and ureteral injury: A complication of iliac bone-grafting, J Bone Joint Surg, 59A, pp. 270-271, (1977)

[10]

Flesch J.R., Leider L.L., Erickson D.L., Chou S.N., Bradford D.S., Harrington instrumentation and spine fusion for unstable fractures and fracture-dislocations of the thoracic and lumbar spine, J Bone Joint Surg, 59A, pp. 143-153, (1977)

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