Autogenous iliac crest bone graft versus banked allograft bone in scoliosis surgery in patients with Duchenne muscular dystrophy.
A total of 36 consecutive nonambulatory DMD patients underwent scoliosis surgery. Patients were divided into two groups: the autogenous iliac crest bone graft group (the ICBG group; 20 patients) and the allogenous bone graft group (the ALBG group; 16 patients). The mean preoperative curves measured 87 degrees and 31 degrees at the last follow-up in the ICBG group and 83 degrees and 28 degrees in the ALBG group. In the ICBG group, three (15%) patients had intraoperative sacroiliac joint penetration, five (25%) had iliac crest inner cortex penetration and three (15%) had postoperative prolonged wound drainage at the donor site. At three months after surgery, donor site pain caused by bone harvest was found in 50% with severe pain limiting their physical function and causing difficulties in sitting in a wheelchair in 40% of the patients, whereas patients in the ALBG group returned to their preoperative level of function soon after surgery.
Nakazawa
Toshiyuki
T
Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Sagamihara City, Kanagawa, Japan. nakazawa@kitasato-u.ac.jp
Takaso
Masashi
M
Imura
Takayuki
T
Adachi
Kou
K
Fukushima
Kensuke
K
Saito
Wataru
W
Miyajima
Gennyo
G
Minatani
Atsushi
A
Shinntani
Ryousuke
R
Itoman
Moritoshi
M
Takahashi
Kazuhisa
K
Yamazaki
Masashi
M
Ohtori
Seiji
S
Sasaki
Atsushi
A
D000293:Adolescent; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000601:surgery*; D008297:Male; D020388:Muscular Dystrophy, Duchenne / Q000150:complications* / Q000601:surgery; D010149:Postoperative Pain / Q000209:etiology; D011446:Prospective Studies; D020127:Recovery of Function; D012600:Scoliosis / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods; D014182:Transplantation, Autologous / Q000009:adverse effects; D014184:Transplantation, Homologous; D055815:Young Adult