One-stage posterior debridement, autogenous spinous process bone graft and instrumentation for single segment lumbar pyogenic spondylitis

AbstractTo compare the surgical outcomes of autogenous spinous process with iliac bone graft in managing single segment lumbar pyogenic spondylitis (PS) after posterior debridement and instrumentation. We performed a retrospective study for adult patients with single level lumbar PS. 60 patients with single segment lumbar PS underwent one-stage posterior debridement, autogenous bone graft and instrumentations. The patients were divided into Group A (autogenous iliac bone) and Group B (autogenous spinous process). Preoperative Charlson comorbidity index (CCI) was analyzed to assess the comorbidity. Low back pain was evaluated using the visual analog scale (VAS). Neurological status was assessed with the American Spinal Injury Association (ASIA) scale. Clinical infection index including the C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) was also reviewed. Moreover, fusion and changes of sagittal alignment were investigated radiologically. There was a significantly longer operative time, hospital stay and greater blood loss in group A. The VAS scores improved significantly at each follow-up interval and post-operative VAS score was significantly lower in group B. At the last follow-up, ESR and CRP returned to normal for all patients. There was at least one grade level improvement in ASIA score. No statistical difference in corrected rate, loss of sagittal angle and lumbar lordosis was found between the two groups. There was no significant difference in fusion rate, mean fusion time and complications between the two groups. Compared with iliac bone graft, the autogenous spinous process bone graft can be less invasive and painful for the single segment lumbar PS. One-stage posterior debridement, autogenous spinous process bone graft and instrumentation can provide satisfactory results for appropriate cases.

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Clinical Results Of A Lamina With Spinous Process And An Iliac Graft As Bone Grafts In The Surgical Treatment Of Single-Segment Lumbar Pyogenic Discitis: A Retrospective Cohort Study

10.21203/rs.3.rs-49502/v1 ◽

2020 ◽

Author(s):

Weiyang Zhong ◽

Xinjie Liang ◽

Xiaolin Wang ◽

Ke Tang ◽

Tianji Huang ◽

...

Keyword(s):

Hospital Stay ◽

Spinous Process ◽

Bone Grafts ◽

Clinical Results ◽

Single Segment ◽

Significant Difference ◽

Group A ◽

The Mean ◽

Group B ◽

Segmental Angle

Abstract Background: A retrospective study investigated and compared the results of a lamina withspinous process (LSP) and an iliac graft (IG) as bone grafts in single-segment lumbar pyogenic discitis (LPD) through one-stage-posterior-only approach with radical debridement and internal instrumentation.Methods: Data from 37 patients were reviewed. A LSP was placed in 17 patients (group A), and an IG was implemented in 20 patients (group B). The surgery time, surgery hemorrhage, hospital stay, drainage, and follow-up (FU) were reviewed. The visual analogue scale (VAS), Oswestry Disability Index (ODI), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) level, segmental angle, intervertebral height and bony fusion time were compared preoperatively and at the final FU.Results: All patients were followed-up for a mean of 27.94±2.35 months in group A and 30.29±1.89 months in group B, without a difference. The mean age was younger in group A than in group B (P<0.05). The surgery time, surgery hemorrhage, and hospitalization cost were lower in group A than in group B (P<0.05), except for the hospital stay and drainage time. Fever occurred in 10 patients in group A and 12 patients in group B. The ESR, CRP level, and VAS and ODI scores were significantly decreased, and there were no significant differences between the groups at the final FU. The distribution of bacterial agents in blood culture was 1 case of Aerobacter cloacae, 2 of Staphylococcus aureus, 2 of Escherichia coli, and 1 of Streptococcus viridis in group A and 1 of S. aureus，1 of Staphylococcus warneri and 2 of Klebsiella pneumoniae in group B. Pyogenic infection was observed in the pathological findings of all patients. No significant difference was found in the mean segmental angle or mean intervertebral height preoperation and at the final FU between the groups.Conclusion: The use of LSP as a new bone graft is reliable, safe, and effective for surgical management for the LPD while surgery is proposed as a good management strategy for LPD in carefully selected patients.

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One stage posterior debridement, non-structural bone graft in the surgical treatment of single segment thoracic tuberculosis: A retrospective single-center cohort study

International Journal of Surgery ◽

10.1016/j.ijsu.2019.04.002 ◽

2019 ◽

Vol 65 ◽

pp. 134-139 ◽

Cited By ~ 3

Author(s):

Xing Du ◽

Yun-sheng Ou ◽

Yong Zhu ◽

Zeng-hui Zhao ◽

Wei Luo ◽

...

Keyword(s):

Cohort Study ◽

Surgical Treatment ◽

Bone Graft ◽

Single Center ◽

Single Segment ◽

One Stage ◽

Structural Bone Graft ◽

Posterior Debridement ◽

Thoracic Tuberculosis

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Retrospective Long-Term Follow-Up Survival Analysis of the Management of Osteonecrosis of the Femoral Head With Pedicled Vascularized Iliac Bone Graft Transfer

The Journal of Arthroplasty ◽

10.1016/j.arth.2019.03.069 ◽

2019 ◽

Vol 34 (8) ◽

pp. 1585-1592 ◽

Cited By ~ 2

Author(s):

Hui Xie ◽

Benjie Wang ◽

Simiao Tian ◽

Boyi Liu ◽

Kairong Qin ◽

...

Keyword(s):

Survival Analysis ◽

Femoral Head ◽

Bone Graft ◽

Iliac Bone ◽

Iliac Bone Graft ◽

Long Term Follow Up

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Cephalometric Long-term Follow-up of Nasal Augmentation using Iliac Bone Graft

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2004.02.006 ◽

2004 ◽

Vol 32 (4) ◽

pp. 233-235 ◽

Cited By ~ 16

Author(s):

Shunji Sarukawa ◽

Yasushi Sugawara ◽

Kiyonori Harii

Keyword(s):

Bone Graft ◽

Iliac Bone ◽

Iliac Bone Graft ◽

Long Term Follow Up ◽

Nasal Augmentation

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Trochanteric Bone Grafts in Foot and Ankle Surgery

Foot & Ankle International ◽

10.1177/107110079601700708 ◽

1996 ◽

Vol 17 (7) ◽

pp. 402-405 ◽

Cited By ~ 11

Author(s):

W. Richard Hayes ◽

Ronald W. Smith

Keyword(s):

Bone Graft ◽

Delayed Union ◽

Iliac Bone ◽

Patient Questionnaire ◽

Foot And Ankle ◽

Greater Trochanter ◽

Graft Harvest ◽

Iliac Bone Graft ◽

Ankle Surgery

Eighty-five patients who underwent trochanteric bone graft harvest in association with foot and ankle surgery were studied retrospectively by patient questionnaire. The average follow-up was 49 months (range, 14–101 months). Ninety-five percent of the patients expressed satisfaction with the procedure, in that they would choose to accept the trochanteric bone graft again if required to make the choice. However, 31 % of the patients acknowledged some degree of hip discomfort and 4% reported some daily pain. Nineteen of 85 patients (22%) were treated for trochanteric pain. Most patients responded to strengthening/stretching and heat/ice. Four patients (5%) had failed or delayed union of the arthrodesis in which trochanteric bone graft was utilized. The greater trochanter may be considered as an alternative for major bone graft when the iliac bone is not available and when weightbearing is restricted for at least 6 weeks after surgery. As with the use of iliac bone graft, patients should be alerted to the possibility of postoperative discomfort. Surgical details should be followed to minimize the risk of peritrochanteric fracture.

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Intercalary Tricortical Iliac Bone Graft in the Surgical Treatment of Nonunion of Midshaft Clavicular Fractures

Clinics in Shoulder and Elbow ◽

10.5397/cise.2012.15.1.32 ◽

2012 ◽

Vol 15 (1) ◽

pp. 32-36 ◽

Cited By ~ 1

Author(s):

Chul Hyun Cho ◽

Hyung Gyu Jang

Keyword(s):

Bone Graft ◽

Clinical Outcomes ◽

Plate Fixation ◽

Arthroscopic Surgery ◽

Iliac Bone ◽

Dash Score ◽

Structural Support ◽

Iliac Bone Graft ◽

Quick Dash

PURPOSE: The purpose of this study was to evaluate the radiologic and clinical outcomes after intercalary tricortical iliac bone graft with plate fixation for the nonunion of midshaft clavicular fractures.MATERIALS AND METHODS: Between September 2007 and May 2011, 10 patients who were treated by the intercalary tricortical iliac bone graft, with plate fixation for clavicle nonunion, were studied. The mean follow-up period was 30.7 (12~57) months. After the sclerotic bone was excised to the bleeding cortical bone, we interposed the tricortical iliac bone to provide structural support and restore clavicle length, and then fixed the plate and screws. The radiologic outcomes on the serial plain radiographs and clinical outcomes, according to UCLA, ASES and Quick DASH scores, were analyzed.RESULTS: Bony union was obtained in all cases (100%) and the average union time was 18.4 (14~24) weeks. The average respective UCLA and ASES scores improved from 16.7 and 52.1 preoperatively to 27.4 and 83.6 postoperatively (p<0.05). The average Quick DASH score was 40.5, at the final follow-up. Complications were 2 shoulder stiffness, and one case had removal of device and arthroscopic surgery at 11 months, postoperatively. There were no implant failure or infection.CONCLUSION: Intercalary tricortical iliac bone graft, with plate fixation for the nonunion of midshaft clavicular fractures, is a good option that can provide structural support and restore clavicle length, as well as high union rate.

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Lumbar and para-iliac hernias: an alternative technique

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-6991e-20213029 ◽

2021 ◽

Vol 48 ◽

Author(s):

MARIA PESSOLE BIONDO SIMÕES ◽

ALEXANDRE CONTIN MANSUR ◽

SILVANIA KLUG PIMENTEL

Keyword(s):

Bone Graft ◽

Blunt Trauma ◽

Iliac Crest ◽

Aortic Surgery ◽

Iliac Bone ◽

Lumbar Region ◽

Alternative Technique ◽

Iliac Bone Graft ◽

The Mean

ABSTRACT Lumbar and para-iliac hernias are rare and occur after removal of an iliac bone graft, nephrectomies, retroperitoneal aortic surgery, or after blunt trauma to the abdomen. The incidence of hernia after the removal of these grafts ranges from 0.5 to 10%. These hernias are a problem that surgeons will face, since bone grafts from the iliac crest are being used more routinely. The goal of this article was to report the technique to correct these complex hernias, using the technique of fixing the propylene mesh to the iliac bone and the result of this approach. In the period of 5 years, 165 patients were treated at the complex hernia service, 10 (6%) with hernia in the supra-iliac and lumbar region, managed with the technique of fixing the mesh to the iliac bone with correction of the failure. During the mean follow-up of 33 months (minimum of 2 and maximum of 48 months), there was no recurrence of the hernias.

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Possibility of Using Flexible Dentures over Iliac Bone Graft in Adolescent Patients with Ameloblastoma: A 9-Month Follow-Up Clinical Report

Case Reports in Dentistry ◽

10.1155/2021/2415707 ◽

2021 ◽

Vol 2021 ◽

pp. 1-5

Author(s):

Ammar Belal ◽

Bassil Monther ◽

Wael Alzarif

Keyword(s):

Bone Graft ◽

Iliac Crest ◽

Clinical Observation ◽

Transition Period ◽

Iliac Bone ◽

Clinical Report ◽

Common Procedure ◽

Iliac Bone Graft ◽

Adolescent Patients

Introduction. The use of bone grafts is a common procedure after excision and reconstruction of the mandible, although it is rare in children and adolescents due to incomplete growth, which means a long transition period until reaching an appropriate age for implants or more predictable outcomes. Case Report. This article describes a 9-month follow-up of the use of a flexible denture above a bone graft taken from the anterior iliac crest for adolescent patients with resected mandible due to ameloblastoma. Taking into account prosthetic considerations, radiography, and clinical observation, no complications were seen with the graft. Conclusion. It is safe to use a flexible denture as a prosthetic over an iliac bone graft block during the healing period.

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