한 분절 요추부 후측방 유합술에서 국소 자가 골편의 사용에 대한 연구 (One Level Lumbar Posterolateral Fusion with Autologous Local Bone Chips)

서지정보

· 발행기관 : 대한척추신경외과학회
· 수록지 정보 : Neurospine / 6권 / 3호 / 144 ~ 148페이지
· 저자명 : 박기수, 성주경, 박진우

초록

Objective: The purpose of this study is to investigate the efficacy of the local bone graft from laminectomy and facetectomy
in one level lumbar posterolateral arthrodesis.
Methods: Sixty six patients who underwent one level lumbar posterolateral arthrodesis for degenerative lumbar diseases
between January 2005 and June 2008 were evaluated retrospectively. Arthrodesis was performed by transpedicular screw
fixation and grafting with autologous local bone chips from laminectomy and facetectomy instead of autologous iliac
bone, allograft bone or biosynthetic composite bone grafts. Postoperative radiographs were obtained to review the evidence
of fusion. A modified Lenke score was used to assess the status of the fusion.
Results: Sixty six patients consist of 29 males and 37 females with mean age 60.7 years old and 22.5 months mean
follow-up period. A mean amount of the local bone chips from laminectomy and facetectomy was 13.4 g. At 12 months
after operation, the average Lenke score was 1.5 and spinal bone fusion rate was 95.4%. There were three patients with
failed fusion and all of them were heavy smokers.
Conclusion: The local bone graft from laminectomy and facetectomy in the one level lumbar posterolateral arthrodesis
is reliable and effective enough to replace the graft from autologous iliac bone, allograft bone or biosynthetic composite
bone grafts.

영어초록

Objective: The purpose of this study is to investigate the efficacy of the local bone graft from laminectomy and facetectomy
in one level lumbar posterolateral arthrodesis.
Methods: Sixty six patients who underwent one level lumbar posterolateral arthrodesis for degenerative lumbar diseases
between January 2005 and June 2008 were evaluated retrospectively. Arthrodesis was performed by transpedicular screw
fixation and grafting with autologous local bone chips from laminectomy and facetectomy instead of autologous iliac
bone, allograft bone or biosynthetic composite bone grafts. Postoperative radiographs were obtained to review the evidence
of fusion. A modified Lenke score was used to assess the status of the fusion.
Results: Sixty six patients consist of 29 males and 37 females with mean age 60.7 years old and 22.5 months mean
follow-up period. A mean amount of the local bone chips from laminectomy and facetectomy was 13.4 g. At 12 months
after operation, the average Lenke score was 1.5 and spinal bone fusion rate was 95.4%. There were three patients with
failed fusion and all of them were heavy smokers.
Conclusion: The local bone graft from laminectomy and facetectomy in the one level lumbar posterolateral arthrodesis
is reliable and effective enough to replace the graft from autologous iliac bone, allograft bone or biosynthetic composite
bone grafts.

참고자료

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