Radiographic and functional evaluation of the iliac bone graft in the treatment of adolescent idiopathic scoliosis

Radiographic and functional evaluation of the iliac bone graft in the treatment of adolescent idiopathic scoliosis

Author Franzin, Fernando J. Google Scholar
Gotfryd, Alberto O. Google Scholar
Neto, Nicola J. C. Google Scholar
Poletto, Patricia R. Autor UNIFESP Google Scholar
Milani, Carlo Google Scholar
Mattar, Thiago Google Scholar
Rodrigues, Luciano M. R. Google Scholar
Institution Santa Casa Misericordia Santos
Universidade Federal de São Paulo (UNIFESP)
Fac Med ABC
Abstract This study aimed to assess the impact of the use of an additional iliac bone graft on functional and radiographic results after thoracic spine arthrodesis with pedicle screws in patients with adolescent idiopathic scoliosis. Participants were divided into two groups: a control group that received only local bone (n = 19) and a second group that, in addition to this procedure, received an iliac graft (n = 22). the evaluations were performed on preoperative, immediate postoperative, and last follow-up (mean 29.7 months; minimum 12 months). Radiographic evaluations included the loss of correction and the presence of nonunion. the functional outcome was evaluated using the Scoliosis Research Society-30 questionnaire. Surgical complications and the presence of iliac donor site pain were also described. There were no significant differences between groups in the pseudoarthrosis rate, loss of correction over time, and quality of life. We concluded that the addition of bone graft from the iliac yielded no benefit in terms of the fusion rate and functional outcomes. the appropriate facetectomy, bed preparation, and filling with a local bone graft must be adequate to achieve an adequate fusion on surgical treatment of adolescent idiopathic scoliosis. (C) 2014 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
Keywords adolescent
arthrodesis
bone screws
bone transplantation
general surgery
ilium
scoliosis
treatment outcome
Language English
Date 2014-07-01
Published in Journal of Pediatric Orthopaedics-part B. Philadelphia: Lippincott Williams & Wilkins, v. 23, n. 4, p. 307-311, 2014.
ISSN 1060-152X (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 307-311
Origin http://dx.doi.org/10.1097/BPB.0000000000000037
Access rights Closed access
Type Article
Web of Science ID WOS:000337136400001
URI http://repositorio.unifesp.br/handle/11600/37965

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