Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (14): 2153-2157.doi: 10.3969/j.issn.2095-4344.2017.14.004

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Allogeneic bone versus autologous iliac bone graft for scoliosis

Jia Guang-hui, Si Wen-teng, Wang Xiang-yu, Wang Ai-guo   

  1. Zhengzhou Orthopaedics Hospital, Zhengzhou 450000, Henan Province, China
  • Received:2016-12-29 Online:2017-05-18 Published:2017-06-10
  • About author:Jia Guang-hui, Master, Attending physician, Zhengzhou Orthopaedics Hospital, Zhengzhou 450000, Henan Province, China
  • Supported by:

    the Key Technologies Research & Development Program of Henan Province, No. 132102310439

Abstract:

BACKGROUND: Scoliosis is a kind of commonly seen spinal deformity, and as a recommended therapy, autologous bone graft has obtained satisfactory outcomes, but there are still some limitations.
OBJECTIVE: To observe the therapeutic effect of allogeneic bone and autologous iliac bone graft for scoliosis.
METHODS: Ninety-two patients with scoliosis received posterior pedicle screw fixation and selective spinal fusion: 46 cases for autologous bone transplantation (control group), and the others for allogeneic bone transplantation (observation group). The clinical indexes, Cobb angle loss rate, bone graft fusion and adverse reactions in the two groups were evaluated postoperatively.
RESULTS AND CONCLUSION: The recovery time of the initial body temperature, white cell count and erythrocyte sedimentation rate returned to normal as well as drainage time in the control group were significantly shorter than those in the observation group (P < 0.05). There was no significant difference in the Cobb angle loss rate between groups at 3, 9 and 15 months postoperatively (P > 0.05). The bone graft fusion rate showed no significant difference at 3, 6, 13 and 24 months postoperatively (P > 0.05). The screw loosening, ruptured and broken robs occurred neither in control group nor in the observation group. The incidences of pain and infection in the control group were significantly higher than those in the observation group (P < 0.05). These findings suggest that both allogeneic bone and autologous iliac bone graft can achieve satisfactory efficacy in the treatment of scoliosis.

中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程

Key words: Ilium, Bone Transplantation, Transplantation, Homologous, Scoliosis, Tissue Engineering

CLC Number: