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《The Journal of Bone and Joint Injury》 2001-01
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Design and Clinical Application of Allograft Interbody Fusion Cage for Lumbar Spodylolisthesis

Chen Jianchang, Shi Zhenman,Zhang Chunhao et al Department of Orthopaedics, Ulumuqi General Hospital of Lanzhou Command, Ulumuqi 830000  
Objective To investigate biomechanical feature and clinical result of using allograft interbody fusion cage (AIFC) for lumbar interbody fusion Methods The AIFC were made of ulnar,radius, fibula from 4 individual donors and cylindrical iliac bone were harvested simultaneously with the trephine cutter from iliac crests The compression test of the material were performed in vitro Resection of the L 2~3 and L 4~5 intervertebral discs were done with the trephine cutter to simulate a lumbar surgical procedures, AIFC and iliac bone blocks were insertde respectively in the intervertebral spaces and segment pull out test were performed Ten cases of lumber spodylolisthesis were treated with anterior or posterior decompression combine with AIFC from July 1998 to June 2000 The clinical result, radiographic outcome and the operation complication were observed Results Maximum compressive load and drawing load were 8268±4905N and 498±206N respectively in AIFC group, but these were 1385±223N and 89±45N respectively in the iliac bone group, there were significant greater in AIFC group than in iliac group (P0 01), Ten cases had excellent results with an average of 12 month follow up No neurologic complications were seen No fracture and dislodgement were observed in AIFC.The height of interspace was maintained All segment had solid fusion Conclusion AIFC could provide enough support, anti slide ability and could remain or increase the height of intervertebral space The fusion rate was similar to that of autograft The design is distinctive and reasonable It completely meets biomechanical and clinical requirements
【Fund】: 兰州军区资助课题!(LXH99 1 9)
【CateGory Index】: R687.1
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