Union Rates of Local Autobone and β-Tricalcium Phosphate Mixed Graft in Lumbar Posterolateral Fusion (요추부 후측방 유합술시 국소 자가골 및 β-Tricalcium phosphate 혼합 이식술의 골유합율)

Man-Jun Park (박만준); Chul-Young Jung (정철용); Il-Soo Eun (은일수); 김창규; Min-Woo Kim (김민우); 황금민; Young-Chul Ko (고영철)

Union Rates of Local Autobone and β-Tricalcium Phosphate Mixed Graft in Lumbar Posterolateral Fusion

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2013, 20(3), pp.71-76
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Man-Jun Park ¹, Chul-Young Jung ¹, Il-Soo Eun ¹, 김창규 ¹, Min-Woo Kim ¹, 황금민 ¹, Young-Chul Ko ¹

¹부산의료원 정형외과

Accredited

ABSTRACT

Study Design: A retroprospective study. Objectives: We used a local autobone and β-tricalcium phosphate mixed graft with posterolateral fusion in spinal stenosis and spondylolisthesis and evaluated union rates to verify the efficacy. Summary of Literature Review: Several reports have shown high union rates of posterolateral fusion using β-tricalcium phosphate. However, in Korea, only one study reported a low union rate. Materials and Methods: Forty-two patients who underwent lumbar posterolateral fusion with a local autobone and β-tricalcium phosphate mixed graft from September 2010 to July 2011 were followed up. There were 32 cases with spinal stenosis and 10 cases with spondylolisthesis. Bone fusion was determined along with the fusion rates based on Lenke’s criteria. Clinical outcomes were determined using Kim’s method. Results: In spinal stenosis, bone union was presented in 19 cases(59.4%) out of 32 cases and in spondylolisthesis, bone union was presented in 7 (70.0%) out of 10. In spinal stenosis, 12 cases showed excellent outcome, 16 good, 3 fair and 1 poor, 27 cases(87.5%)were superior to the good. In spondylolisthesis, 2 cases showed excellent outcome, 5 good, 3 fair and 0 poor, 8 cases(70.0%) were superior to the good. Conclusions: Posterolateral fusion using a local autobone and β-tricalcium phosphate mixed graft showed lower bone fusion rates. We need further studies to enhance the fusion rate when using local autobone and β-tricalcium phosphate mixed grafts.

KEYWORDS

Spinal stenosis, Spondylolisthesis, β-tricalcium phosphate, Posterolateral fusion

Citation status

* References for papers published after 2023 are currently being built.

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03