Augmenting local bone with Grafton demineralized bone matrix for posterolateral lumbar spine fusion: avoiding second site autologous bone harvest.
Mineralization and integrity of the bone graft mass were evaluated among patients having posterolateral fusion. Grafting consisted of a composite of Grafton and "local" autologous bone (n=56) or iliac crest autograft alone (n=52). Mineralization was rated radiographically at baseline and at 3, 6, 12, and 24 months. Integrity was judged as fused or not fused. Mineralization ratings did not differ significantly between groups at any postoperative interval (P values of .25-1.00). The percentage of patients fused was similar in both groups (60% and 56% for Grafton and controls, respectively; P=.83). Fifteen control patients reported donor site pain. These findings warrant further evaluation of this composite.
Sassard
W R
WR
Center for Orthopaedic Research and Education, St Luke's Episcopal Hospital, Houston, Tex, USA.
Eidman
D K
DK
Gray
P M
PM
Block
J E
JE
Russo
R
R
Russell
J L
JL
Taboada
E M
EM
D000328:Adult; D001857:Bone Matrix / Q000637:transplantation*; D002113:Calcification, Physiologic; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D013123:Spinal Fusion / Q000379:methods*; D014182:Transplantation, Autologous