Healos graft carrier with bone marrow aspirate instead of allograft as adjunct to local autograft for posterolateral fusion in degenerative lumbar scoliosis: a minimum 2-year follow-up study (Journal article)

Ploumis, A./ Albert, T. J./ Brown, Z./ Mehbod, A. A./ Transfeldt, E. E.

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dc.contributor.authorPloumis, A.en
dc.contributor.authorAlbert, T. J.en
dc.contributor.authorBrown, Z.en
dc.contributor.authorMehbod, A. A.en
dc.contributor.authorTransfeldt, E. E.en
dc.rightsDefault Licence-
dc.subjectBiocompatible Materials/therapeutic useen
dc.subject*Bone Marrow Transplantationen
dc.subjectDecompression, Surgical/instrumentation/methodsen
dc.subjectDisability Evaluationen
dc.subjectDurapatite/*therapeutic useen
dc.subjectFollow-Up Studiesen
dc.subjectLumbar Vertebrae/surgeryen
dc.subjectPostoperative Complicationsen
dc.subjectProspective Studiesen
dc.subjectSeverity of Illness Indexen
dc.subjectSpinal Fusion/*instrumentation/*methodsen
dc.subjectSpinal Stenosis/radiography/*surgeryen
dc.subjectSurgical Spongesen
dc.subjectTransplantation, Autologousen
dc.subjectTransplantation, Homologousen
dc.subjectTreatment Outcomeen
dc.titleHealos graft carrier with bone marrow aspirate instead of allograft as adjunct to local autograft for posterolateral fusion in degenerative lumbar scoliosis: a minimum 2-year follow-up studyen
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.abstractOBJECT: The objective of this study was to examine the efficacy and safety of Healos graft carrier with bone marrow aspirate and local autograft compared with the results of allograft in patients with lumbar degenerative scoliosis undergoing posterolateral fusion. METHODS: Twenty-eight patients with degenerative scoliosis underwent posterolateral instrumented fusion and decompression. Patients were grouped according to the graft used. Group A consisted of 12 cases in which the authors used a Healos graft carrier, bone marrow aspirate, and local autograft, and Group B consisted of 16 cases in which the authors used cancellous allograft and local autograft. Patients were followed for a minimum of 2 years postoperatively in terms of pain (visual analog scale), function (Oswestry Disability Index), curve magnitude (Cobb angle), and fusion status (plain and dynamic radiographs). The 2 groups did not differ statistically significantly (p > 0.05) in age, sex, smoking habits, magnitude of preoperative visual analog scale score, Oswestry Disability Index score, Cobb angle, or number of levels requiring decompression and fusion. RESULTS: The groups had similar (p > 0.05) results in terms of pain, function, curve progression, and fusion rates at the 2-year follow-up examination. Radiographic fusion was achieved in all but 2 cases, 1 in each group, in which the patients were asymptomatic. Patients in the allograft group (Group B) showed evidence of fusion earlier than in the Healos group (p < 0.05). No toxicity from Healos graft was recorded. CONCLUSIONS: The combination of Healos hydroxyapatite sponge and bone marrow aspirate plus local allograft had significantly slower fusion rates but equal clinical outcomes compared with cancellous allograft plus local autograft when used for posterolateral fusion in patients with degenerative lumbar scoliosis.en
heal.journalNameJ Neurosurg Spineen
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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