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Initial Experience with BoneBac PressTM: A Novel Autologous Bone Graft Harvesting and Collecting Device

机译:使用BoneBac PressTM的初步经验:一种新型的自体骨移植物收集和收集设备

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Object: The objective of this study is to analyze the utility of a novel autologous bone graft harvesting and collecting device in spinal fusion surgeries. Methods: 35 patients underwent fusion procedures in the cervical or lumbar spine using the BoneBac PressTM. Procedures included anterior cervical discectomy with fusion (ACDF), lumbar laminectomy and posterolateral arthrodesis, and transforaminal lumbar interbody fusion (TLIF). The amount of bone graft collected from each level was determined as well as the need for additional bone graft extenders. Fusion rates were determined based on an independent radiographic evaluation performed 5 to 12 months postoperatively. Results: 54 total levels were operated upon, collecting a total of 176.0 cc of autograft. The average amount of bone collected was 3.26 cc/level. In the cervical and lumbar spine the average amount of bone collected per level was 2.30 cc and 6.77 cc respectively. The fusion rate was 94.3% at 10 months postoperatively. In most cases no additional bone graft extender was needed. Autologous bone collected had excellent handling characteristics and was easily packed into cages or placed posterolaterally. Conclusions: The use of autograft bone material collected using the BoneBac PressTM is costeffective, significantly reduces bone graft cost, and eliminates donor graft site morbidity while promoting successful fusion.
机译:目的:本研究的目的是分析新型自体骨移植物收集和收集装置在脊柱融合手术中的实用性。方法:35例患者使用BoneBac PressTM在颈椎或腰椎进行融合手术。手术包括颈椎前路椎间盘融合术(ACDF),腰椎椎板切除术和后外侧关节固定术以及经椎间孔腰椎椎体间融合术(TLIF)。确定从每个级别收集的骨移植物的数量以及是否需要其他骨移植物补充剂。融合率是根据术后5到12个月进行的独立射线照相评估确定的。结果:共进行了54次操作,共收集了176.0 cc自体移植物。收集的平均骨量为3.26 cc /水平。在颈椎和腰椎中,每个水平收集的平均骨量分别为2.30 cc和6.77 cc。术后10个月融合率为94.3%。在大多数情况下,不需要额外的骨移植扩展剂。收集的自体骨具有出色的处理特性,很容易包装到笼子中或后外侧放置。结论:使用通过BoneBac PressTM收集的自体骨材料成本效益高,可显着降低骨移植成本,并消除供体移植部位的发病率,同时促进成功的融合。

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