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Fresh-frozen femoral head allograft as lumbar interbody graft material allows high fusion rate without subsidence.

Abstract：

BACKGROUND:Circumferential lumbar spinal fusion is widely used to increase fusion rate, but little data is available using fresh-frozen femoral head allograft (FFFHA) as a structural interbody graft alternative. HYPOTHESIS:Circumferential lumbar arthrodesis using FFFHA as interbody graft material could be an alternative to achieve interbody fusion without graft subsidence. METHODS:A retrospective review of 47 patients (56 levels) treated with lumbar circumferential fusion using FFFHA as interbody material. Consolidation was independently assessed by the two authors using a 3-type scale; interbody bone graft subsidence was also evaluated. RESULTS:Forty-four of the 47 patients (93.6%), and 53 of the 56 levels (94.6%) obtained consolidation, without differences between smokers and nonsmokers. Three levels (in three patients) did not fuse; one of them (2.1%) required revision. No patient presented graft dislodgment, signs of infection or graft subsidence at the last follow-up. DISCUSSION:FFFHA use as lumbar interbody graft in circumferential arthrodesis exhibited a 94% fusion rate, without graft subsidence. FFFHA may be considered a valid alternative to achieve interbody fusion. LEVEL OF EVIDENCE:Level IV. Retrospective study.

journal_name

Orthop Traumatol Surg Res

journal_title

Orthopaedics & traumatology, surgery & research : OTSR

authors

Urrutia J,Molina M

doi

10.1016/j.otsr.2013.03.010

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

413-8

issue

4

issn

1877-0568

pii

S1877-0568(13)00067-4

journal_volume

99

pub_type

杂志文章

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