Impact of iliac crest bone graft harvesting on fusion rates and postoperative pain during instrumented posterolateral lumbar fusion.
This study aims to evaluate the influence of bone harvesting on postoperative pain and fusion rates. Group 1 patients received iliac crest bone graft (ICBG) either alone or augmented with local bone. Group 2 received only local bone. No statistical significance was found in radiological union or in the Oswestry Disability Index scores. Visual Analogue Scale scores showed less pain in group 2. Logistic regression showed no correlation between residual pain and occurrence of fusion. Harvesting ICBG did not appear to increase fusion rates and no relation was found between radiological non-union and pain.
Schizas
Constantin
C
Hôpital Orthopédique de la Suisse Romande, Centre Hospitalier Universitaire Vaudois and The University of Lausanne, Lausanne, Switzerland. cschizas@hotmail.com
Triantafyllopoulos
Dimitrios
D
Kosmopoulos
Victor
V
Stafylas
Kosmas
K
D016025:Bone Transplantation / Q000009:adverse effects* / Q000379:methods; D015331:Cohort Studies; D004185:Disability Evaluation; D006801:Humans; D007085:Ilium / Q000601:surgery / Q000637:transplantation*; D016015:Logistic Models; D008159:Lumbar Vertebrae / Q000601:surgery*; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology*; D011446:Prospective Studies; D013123:Spinal Fusion / Q000379:methods*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome