首页> 美国卫生研究院文献>European Spine Journal >Solvent-preserved bovine cancellous bone blocks used for reconstruction of thoracolumbar fractures in minimally invasive spinal surgery—first clinical results
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Solvent-preserved bovine cancellous bone blocks used for reconstruction of thoracolumbar fractures in minimally invasive spinal surgery—first clinical results

机译:溶剂保存的牛松质骨块用于微创脊柱外科手术中重建胸腰椎骨折-首例临床结果

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摘要

We investigated the osseointegration of solvent-preserved, xenogenous cancellous bone blocks in the treatment of unstable fractures of the thoracolumbar junction. In 22 patients, the anterior repair procedure was performed by thoracoscopy or minimally invasive retroperitoneal surgery. Twenty-two patients had undergone monosegmental anterior fusion and were surveyed prospectively. Solvent-preserved, bovine cancellous bone blocks were used in 11 patients; iliac crest bone graft was used in the others. Follow-up after 12 months included CT scans, which revealed successful osseointegration in eight out of 11 patients who had received autogenous iliac crest bone grafts, while three patients showed a partial integration. There were no graft fragmentations. In patients who had received solvent-preserved, xenogenous cancellous bone blocks, complete osseointegration was achieved at the graft–bone interface in only two out of 11 cases, after 1 year. Partial integration was found in three patients. In view of these results, autogenous iliac crest bone grafts are still the unrivalled standard for defect repair in spinal surgery.
机译:我们研究了保留溶剂的异种松质骨块的骨整合在治疗胸腰椎交界处不稳定骨折中的作用。在22例患者中,前胸手术是通过胸腔镜或微创腹膜后手术进行的。 22例患者接受了单节段前路融合术,并进行了前瞻性调查。 11例患者使用了溶剂保存的牛松质骨块。其他使用others骨植骨。 12个月后的随访包括CT扫描,结果显示11例接受自体rest骨移植的患者中有8例成功骨整合,而3例显示部分融合。没有移植物碎片。在接受溶剂保存的异种松质骨块的患者中,一年后仅11例中有2例在移植物-骨界面处实现了完全骨整合。在三名患者中发现部分整合。鉴于这些结果,自体骨骨移植仍是脊柱外科缺损修复的无与伦比的标准。

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