Comparative effectiveness of two different interbody fusion methods for transforaminal lumbar interbody fusion: cage versus morselized impacted bone graftsReportar como inadecuado




Comparative effectiveness of two different interbody fusion methods for transforaminal lumbar interbody fusion: cage versus morselized impacted bone grafts - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Musculoskeletal Disorders

, 16:207

First Online: 19 August 2015Received: 10 March 2015Accepted: 11 August 2015

Abstract

BackgroundThe use of an interbody fusion device cage to assist fusion and increase intervertebral stability is widely supported. We applied the morselized impacted bone graft method without using a cage in a single level interbody fusion with encouraging medium-term clinical results. The purpose of this paper is to compare the clinical and radiological results of local bone grafts with a cage to morselized impacted bone grafts without cage, in patients undergoing transforaminal lumbar interbody fusion TLIF surgery.

MethodsOne hundred eighty-nine consecutive patients who underwent TLIF in our hospital were evaluated from July 2009 to July 2012. Eighty-four patients received TLIF and local bone graft with one polyetheretherketone PEEK cage, while 96 patients received the TLIF with local morselized impacted bone grafts without a cage. The clinical data and perioperative parameters of the patients in the two groups were recorded and compared.

ResultsThe mean follow-up time was 35 months. There were no significant differences in operation time and blood loss between the two groups. Single-level fusion was performed in all patients. There were no statistically significant differences between the two groups, according to the preoperative or postoperative Oswestry Disability Index ODI score. No statistically significant differences in fusion rate were observed between the two groups. At the final follow-up, the ratio of the disc height to vertebral height HR was not significantly different between the two groups.

ConclusionMorselized impacted bone graft is as beneficial as local bone grafts with a cage for TLIF. Since the no cage procedure is less expensive, the morselized impacted bone graft is an affordable choice for single level TLIF, especially in less developed regions.

KeywordsInterbody fusion Bone graft Cage Lumbar spinal stenosis AbbreviationsTLIFTransforaminal lumbar interbody fusion

PEEKPolyetheretherketone

ODIOswestry Disability Index

MRIMagnetic resonance imaging

CTComputed Tomography

DHThe disc height

HRThe ratio of disc height to vertebral height

Download fulltext PDF



Autor: Chaoliang Lv - Xianzhou Li - Haicheng Zhang - Junrong Lv - Hongmei Zhang

Fuente: https://link.springer.com/







Documentos relacionados