Autogenous iliac crest bone graft versus banked allograft bone in scoliosis surgery in patients with Duchenne muscular dystrophy

作者：Nakazawa Toshiyuki^*; Takaso Masashi; Imura Takayuki; Adachi Kou; Fukushima Kensuke; Saito Wataru; Miyajima Gennyo; Minatani Atsushi; Shinntani Ryousuke; Itoman Moritoshi; Takahashi Kazuhisa; Yamazaki Masashi; Ohtori Seiji; Sasaki Atsushi

来源：International Orthopaedics, 2010, 34(6): 855-861.

DOI：10.1007/s00264-009-0828-8

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 87A degrees and 31A degrees at the last follow-up in the ICBG group and 83A degrees and 28A 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.

• 出版日期2010-8