One, Two-, and Three-Level Instrumented Posterolateral Fusion of the Lumbar Spine With a Local Bone Graft: A Prospective Study With a 2-Year Follow-up
Prospective trial. To examine the difference in bone union and clinical results after one-, two-, and three-level instrumented posterolateral fusion surgery using a local bone graft. The iliac crest bone graft technique for lumbar posterolateral fusion surgery is widely used; however, donor site pro...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2011-08, Vol.36 (17), p.1392-1396 |
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| creator | INAGE, Kazuhide OHTORI, Seiji OCHIAI, Nobuyasu KISHIDA, Shunji KUNIYOSHI, Kazuki AOKI, Yasuchika NAKAMURA, Junichi ISHIKAWA, Tetsuhiro ARAI, Gen MIYAGI, Masayuki KAMODA, Hiroto SUZUKI, Takane KOSHI, Takana TOYONE, Tomoaki TAKAHASHI, Kazuhisa SUZUKI, Munetaka TAKASO, Masashi YAMASHITA, Masaomi YAMAUCHI, Kazuyo INOUE, Gen ORITA, Sumihisa EGUCHI, Yawara |
| description | Prospective trial.
To examine the difference in bone union and clinical results after one-, two-, and three-level instrumented posterolateral fusion surgery using a local bone graft.
The iliac crest bone graft technique for lumbar posterolateral fusion surgery is widely used; however, donor site problems such as pain and sensory disturbance have been reported. Local bone has been used for fusion surgery; however, its reliability as a graft for multiple segments has not been fully reported.
One hundred twenty-two patients diagnosed with degenerated spondylolisthesis were divided into three groups [spondylolisthesis at 1 level (n = 42), at 2 levels (n = 40), and at 3 levels (n = 40)]. All patients underwent decompression and instrumented posterolateral fusion with a local bone graft. The amount of bone graft, proportion of patients with (rate) and duration of bone union, Visual Analog Scale (VAS) score, Japanese Orthopedic Association Score (JOAS), and Oswestry Disability Index (ODI) were evaluated before and 2 years after therapy.
VAS score, JOA score, and ODI were not significantly different among the three groups before and after surgery (P > 0.05). Average amount of local bone graft used for one segment significantly decreased in proportion to the number of fusion levels (P < 0.05). The rate of bone union was 88% in the one-level group, 85% in the two-level group, and 62.5% in the three-level group, which was significantly lower than that in the one- and two-level groups (P < 0.05).
If one- and two-level posterolateral fusion were performed, the local bone graft technique provides a good and uniform bone union rate; however, for three-level fusion poor results were obtained because of an insufficient amount of local bone. |
| doi_str_mv | 10.1097/BRS.0b013e3181f40e69 |
| format | Article |
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To examine the difference in bone union and clinical results after one-, two-, and three-level instrumented posterolateral fusion surgery using a local bone graft.
The iliac crest bone graft technique for lumbar posterolateral fusion surgery is widely used; however, donor site problems such as pain and sensory disturbance have been reported. Local bone has been used for fusion surgery; however, its reliability as a graft for multiple segments has not been fully reported.
One hundred twenty-two patients diagnosed with degenerated spondylolisthesis were divided into three groups [spondylolisthesis at 1 level (n = 42), at 2 levels (n = 40), and at 3 levels (n = 40)]. All patients underwent decompression and instrumented posterolateral fusion with a local bone graft. The amount of bone graft, proportion of patients with (rate) and duration of bone union, Visual Analog Scale (VAS) score, Japanese Orthopedic Association Score (JOAS), and Oswestry Disability Index (ODI) were evaluated before and 2 years after therapy.
VAS score, JOA score, and ODI were not significantly different among the three groups before and after surgery (P > 0.05). Average amount of local bone graft used for one segment significantly decreased in proportion to the number of fusion levels (P < 0.05). The rate of bone union was 88% in the one-level group, 85% in the two-level group, and 62.5% in the three-level group, which was significantly lower than that in the one- and two-level groups (P < 0.05).
If one- and two-level posterolateral fusion were performed, the local bone graft technique provides a good and uniform bone union rate; however, for three-level fusion poor results were obtained because of an insufficient amount of local bone.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0b013e3181f40e69</identifier><identifier>PMID: 21224776</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Bone Transplantation - methods ; Cerebrospinal fluid. Meninges. Spinal cord ; Female ; Follow-Up Studies ; Humans ; Lumbar Vertebrae - surgery ; Lumbar Vertebrae - transplantation ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Neurosurgery ; Pain Measurement - methods ; Prospective Studies ; Sacrum - surgery ; Sacrum - transplantation ; Skull, brain, vascular surgery ; Spinal Fusion - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2011-08, Vol.36 (17), p.1392-1396</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c314t-a9696a65e12a7c1ee725a8d4d9bf2be203ba276fbb9b7c25610a331db88cdb853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24404043$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21224776$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>INAGE, Kazuhide</creatorcontrib><creatorcontrib>OHTORI, Seiji</creatorcontrib><creatorcontrib>OCHIAI, Nobuyasu</creatorcontrib><creatorcontrib>KISHIDA, Shunji</creatorcontrib><creatorcontrib>KUNIYOSHI, Kazuki</creatorcontrib><creatorcontrib>AOKI, Yasuchika</creatorcontrib><creatorcontrib>NAKAMURA, Junichi</creatorcontrib><creatorcontrib>ISHIKAWA, Tetsuhiro</creatorcontrib><creatorcontrib>ARAI, Gen</creatorcontrib><creatorcontrib>MIYAGI, Masayuki</creatorcontrib><creatorcontrib>KAMODA, Hiroto</creatorcontrib><creatorcontrib>SUZUKI, Takane</creatorcontrib><creatorcontrib>KOSHI, Takana</creatorcontrib><creatorcontrib>TOYONE, Tomoaki</creatorcontrib><creatorcontrib>TAKAHASHI, Kazuhisa</creatorcontrib><creatorcontrib>SUZUKI, Munetaka</creatorcontrib><creatorcontrib>TAKASO, Masashi</creatorcontrib><creatorcontrib>YAMASHITA, Masaomi</creatorcontrib><creatorcontrib>YAMAUCHI, Kazuyo</creatorcontrib><creatorcontrib>INOUE, Gen</creatorcontrib><creatorcontrib>ORITA, Sumihisa</creatorcontrib><creatorcontrib>EGUCHI, Yawara</creatorcontrib><title>One, Two-, and Three-Level Instrumented Posterolateral Fusion of the Lumbar Spine With a Local Bone Graft: A Prospective Study With a 2-Year Follow-up</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>Prospective trial.
To examine the difference in bone union and clinical results after one-, two-, and three-level instrumented posterolateral fusion surgery using a local bone graft.
The iliac crest bone graft technique for lumbar posterolateral fusion surgery is widely used; however, donor site problems such as pain and sensory disturbance have been reported. Local bone has been used for fusion surgery; however, its reliability as a graft for multiple segments has not been fully reported.
One hundred twenty-two patients diagnosed with degenerated spondylolisthesis were divided into three groups [spondylolisthesis at 1 level (n = 42), at 2 levels (n = 40), and at 3 levels (n = 40)]. All patients underwent decompression and instrumented posterolateral fusion with a local bone graft. The amount of bone graft, proportion of patients with (rate) and duration of bone union, Visual Analog Scale (VAS) score, Japanese Orthopedic Association Score (JOAS), and Oswestry Disability Index (ODI) were evaluated before and 2 years after therapy.
VAS score, JOA score, and ODI were not significantly different among the three groups before and after surgery (P > 0.05). Average amount of local bone graft used for one segment significantly decreased in proportion to the number of fusion levels (P < 0.05). The rate of bone union was 88% in the one-level group, 85% in the two-level group, and 62.5% in the three-level group, which was significantly lower than that in the one- and two-level groups (P < 0.05).
If one- and two-level posterolateral fusion were performed, the local bone graft technique provides a good and uniform bone union rate; however, for three-level fusion poor results were obtained because of an insufficient amount of local bone.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Lumbar Vertebrae - transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Pain Measurement - methods</subject><subject>Prospective Studies</subject><subject>Sacrum - surgery</subject><subject>Sacrum - transplantation</subject><subject>Skull, brain, vascular surgery</subject><subject>Spinal Fusion - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkd1q3DAQhUVpabZp3qAU3ZTeRIn-LFu9S0I3DRgSsltCr4wkj1kX23IkOSEv0uetSjYtlIEzMHwzw8xB6AOjJ4zq8vT8dnNCLWUCBKtYJyko_QqtWMErwlihX6MVFYoTLoU6QO9i_EkpVYLpt-iAM85lWaoV-nU9wTHePnpyjM3U4u0uAJAaHmDAV1NMYRlhStDiGx8TBD-YrGbA6yX2fsK-w2kHuF5GawLezP0E-K5PO2xw7V3mzn2uXAbTpS_4DN8EH2dwqX8AvElL-_QCc_ID8oC1Hwb_SJb5PXrTmSHC0T4fou_rr9uLb6S-vry6OKuJE0wmYrTSyqgCGDelYwAlL0zVylbbjlvgVFjDS9VZq23peKEYNUKw1laVy1KIQ_T5ee4c_P0CMTVjHx0Mg5nAL7GpSi0rqgqRSflMunxDDNA1c-hHE54aRps_hjTZkOZ_Q3Lbx_2CxY7Q_m16cSADn_aAiflhXTCT6-M_TkqaQ4jfGWSUwQ</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>INAGE, Kazuhide</creator><creator>OHTORI, Seiji</creator><creator>OCHIAI, Nobuyasu</creator><creator>KISHIDA, Shunji</creator><creator>KUNIYOSHI, Kazuki</creator><creator>AOKI, Yasuchika</creator><creator>NAKAMURA, Junichi</creator><creator>ISHIKAWA, Tetsuhiro</creator><creator>ARAI, Gen</creator><creator>MIYAGI, Masayuki</creator><creator>KAMODA, Hiroto</creator><creator>SUZUKI, Takane</creator><creator>KOSHI, Takana</creator><creator>TOYONE, Tomoaki</creator><creator>TAKAHASHI, Kazuhisa</creator><creator>SUZUKI, Munetaka</creator><creator>TAKASO, Masashi</creator><creator>YAMASHITA, Masaomi</creator><creator>YAMAUCHI, Kazuyo</creator><creator>INOUE, Gen</creator><creator>ORITA, Sumihisa</creator><creator>EGUCHI, Yawara</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110801</creationdate><title>One, Two-, and Three-Level Instrumented Posterolateral Fusion of the Lumbar Spine With a Local Bone Graft: A Prospective Study With a 2-Year Follow-up</title><author>INAGE, Kazuhide ; OHTORI, Seiji ; OCHIAI, Nobuyasu ; KISHIDA, Shunji ; KUNIYOSHI, Kazuki ; AOKI, Yasuchika ; NAKAMURA, Junichi ; ISHIKAWA, Tetsuhiro ; ARAI, Gen ; MIYAGI, Masayuki ; KAMODA, Hiroto ; SUZUKI, Takane ; KOSHI, Takana ; TOYONE, Tomoaki ; TAKAHASHI, Kazuhisa ; SUZUKI, Munetaka ; TAKASO, Masashi ; YAMASHITA, Masaomi ; YAMAUCHI, Kazuyo ; INOUE, Gen ; ORITA, Sumihisa ; EGUCHI, Yawara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-a9696a65e12a7c1ee725a8d4d9bf2be203ba276fbb9b7c25610a331db88cdb853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation - methods</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Lumbar Vertebrae - transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Pain Measurement - methods</topic><topic>Prospective Studies</topic><topic>Sacrum - surgery</topic><topic>Sacrum - transplantation</topic><topic>Skull, brain, vascular surgery</topic><topic>Spinal Fusion - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>INAGE, Kazuhide</creatorcontrib><creatorcontrib>OHTORI, Seiji</creatorcontrib><creatorcontrib>OCHIAI, Nobuyasu</creatorcontrib><creatorcontrib>KISHIDA, Shunji</creatorcontrib><creatorcontrib>KUNIYOSHI, Kazuki</creatorcontrib><creatorcontrib>AOKI, Yasuchika</creatorcontrib><creatorcontrib>NAKAMURA, Junichi</creatorcontrib><creatorcontrib>ISHIKAWA, Tetsuhiro</creatorcontrib><creatorcontrib>ARAI, Gen</creatorcontrib><creatorcontrib>MIYAGI, Masayuki</creatorcontrib><creatorcontrib>KAMODA, Hiroto</creatorcontrib><creatorcontrib>SUZUKI, Takane</creatorcontrib><creatorcontrib>KOSHI, Takana</creatorcontrib><creatorcontrib>TOYONE, Tomoaki</creatorcontrib><creatorcontrib>TAKAHASHI, Kazuhisa</creatorcontrib><creatorcontrib>SUZUKI, Munetaka</creatorcontrib><creatorcontrib>TAKASO, Masashi</creatorcontrib><creatorcontrib>YAMASHITA, Masaomi</creatorcontrib><creatorcontrib>YAMAUCHI, Kazuyo</creatorcontrib><creatorcontrib>INOUE, Gen</creatorcontrib><creatorcontrib>ORITA, Sumihisa</creatorcontrib><creatorcontrib>EGUCHI, Yawara</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>INAGE, Kazuhide</au><au>OHTORI, Seiji</au><au>OCHIAI, Nobuyasu</au><au>KISHIDA, Shunji</au><au>KUNIYOSHI, Kazuki</au><au>AOKI, Yasuchika</au><au>NAKAMURA, Junichi</au><au>ISHIKAWA, Tetsuhiro</au><au>ARAI, Gen</au><au>MIYAGI, Masayuki</au><au>KAMODA, Hiroto</au><au>SUZUKI, Takane</au><au>KOSHI, Takana</au><au>TOYONE, Tomoaki</au><au>TAKAHASHI, Kazuhisa</au><au>SUZUKI, Munetaka</au><au>TAKASO, Masashi</au><au>YAMASHITA, Masaomi</au><au>YAMAUCHI, Kazuyo</au><au>INOUE, Gen</au><au>ORITA, Sumihisa</au><au>EGUCHI, Yawara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One, Two-, and Three-Level Instrumented Posterolateral Fusion of the Lumbar Spine With a Local Bone Graft: A Prospective Study With a 2-Year Follow-up</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>36</volume><issue>17</issue><spage>1392</spage><epage>1396</epage><pages>1392-1396</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>Prospective trial.
To examine the difference in bone union and clinical results after one-, two-, and three-level instrumented posterolateral fusion surgery using a local bone graft.
The iliac crest bone graft technique for lumbar posterolateral fusion surgery is widely used; however, donor site problems such as pain and sensory disturbance have been reported. Local bone has been used for fusion surgery; however, its reliability as a graft for multiple segments has not been fully reported.
One hundred twenty-two patients diagnosed with degenerated spondylolisthesis were divided into three groups [spondylolisthesis at 1 level (n = 42), at 2 levels (n = 40), and at 3 levels (n = 40)]. All patients underwent decompression and instrumented posterolateral fusion with a local bone graft. The amount of bone graft, proportion of patients with (rate) and duration of bone union, Visual Analog Scale (VAS) score, Japanese Orthopedic Association Score (JOAS), and Oswestry Disability Index (ODI) were evaluated before and 2 years after therapy.
VAS score, JOA score, and ODI were not significantly different among the three groups before and after surgery (P > 0.05). Average amount of local bone graft used for one segment significantly decreased in proportion to the number of fusion levels (P < 0.05). The rate of bone union was 88% in the one-level group, 85% in the two-level group, and 62.5% in the three-level group, which was significantly lower than that in the one- and two-level groups (P < 0.05).
If one- and two-level posterolateral fusion were performed, the local bone graft technique provides a good and uniform bone union rate; however, for three-level fusion poor results were obtained because of an insufficient amount of local bone.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>21224776</pmid><doi>10.1097/BRS.0b013e3181f40e69</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0362-2436 |
| ispartof | Spine (Philadelphia, Pa. 1976), 2011-08, Vol.36 (17), p.1392-1396 |
| issn | 0362-2436 1528-1159 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_879480653 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Aged, 80 and over Biological and medical sciences Bone Transplantation - methods Cerebrospinal fluid. Meninges. Spinal cord Female Follow-Up Studies Humans Lumbar Vertebrae - surgery Lumbar Vertebrae - transplantation Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Neurosurgery Pain Measurement - methods Prospective Studies Sacrum - surgery Sacrum - transplantation Skull, brain, vascular surgery Spinal Fusion - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | One, Two-, and Three-Level Instrumented Posterolateral Fusion of the Lumbar Spine With a Local Bone Graft: A Prospective Study With a 2-Year Follow-up |
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