[Show abstract][Hide abstract] ABSTRACT: To evaluate the clinical effect of local autogenous bone chips extended with allogeneic bone grafts in the posterolateral lumbar fusion.
From March 2005 to April 2007, 22 cases which underwent posterolateral lumbar fusion with allograft bone mixed with local autograft bone were analyzed retrospectively. The postoperative temperature, drainage flow and healing time of the incision were analyzed; postoperative lumbar pain was evaluated by visual analog scale (VAS) and JOA score; the postoperative efficacy was assessed by MacNab criteria and Oswestry disability index (ODI); the fusion rate was defined by Jorgenson fusion criteria.
All cases were followed up for 17-35 months with an average of 21 months, the wound all healed by first intention; no red swelling, exudation and infection occurred. The excellent and good rate was 81.8% for JOA score (excellent in 4 cases, good in 14 cases, fair in 4 cases), 77.3% for MacNab criteria (excellent in 4 cases, good in 13 cases, fair in 5 cases) and 90.9% for ODI index (excellent in 3 cases, good in 17 cases, fair in 2 cases). The postoperative X-ray fusion rate within 1 year was 90.9%.
Allograft bone mixed with local autograft bone can achieve good efficacy and fusion rate in posterolateral lumbar fusion.
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery 06/2009; 23(5):524-6.
[Show abstract][Hide abstract] ABSTRACT: This is an anatomic, preclinical study using computed tomography and computerized simulation to describe the morphologic features and ideal screw insertion trajectories for cervical pedicles in the southern Chinese population. The morphologic features of the pedicle of vertebrae (C3-C7) from 20 human cadaver spines were evaluated with computed tomography and with manual measurements. There was no difference between the two data sets. The topography of the cervical pedicles was recreated graphically, calculating the safe range of the insertion angle with and without consideration of the pedicle screw diameter. Neglecting the diameter of the screw, the average safe ranges of the insertion angle at each cervical level (C3-C7) in the transverse plane were 18.7 degrees , 20.4 degrees , 22.4 degrees , 22.5 degrees , and 27.6 degrees , respectively, and in the sagittal plane 27.6 degrees , 30.3 degrees , 27.7 degrees , 29.0 degrees , and 34.9 degrees , respectively. Including the diameter of the 3.0-mm screw, the safe ranges narrowed to 7.3 degrees , 8.6 degrees , 11.0 degrees , 13.1 degrees , and 15.5 degrees in the transverse plane, and 16.4 degrees , 18.7 degrees , 16.4 degrees , 18.3 degrees , and 23.1 degrees in the sagittal plane. We think computed tomography measurements can provide individual quantitative data for transpedicle screw fixation in the cervical spine.
Clinical Orthopaedics and Related Research 10/2007; 462(462):99-104. DOI:10.1097/BLO.0b013e3180ebe4e5 · 2.77 Impact Factor