Effect of 270° autogenous bone replantation around the intervertebral cage on vertebral fusion rate and efficacy after lumbar fusion

WU Hao; YU Hai-yang; ZHAI Yun-lei; LIANG Cheng-min; CUI Xi-long

doi:10.16766/j.cnki.issn.1674-4152.002093

Volume 19 Issue 9

Sep. 2021

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Article Navigation > Chinese Journal of General Practice > 2021 > 19(9): 1488-1491

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WU Hao, YU Hai-yang, ZHAI Yun-lei, LIANG Cheng-min, CUI Xi-long. Effect of 270° autogenous bone replantation around the intervertebral cage on vertebral fusion rate and efficacy after lumbar fusion[J]. Chinese Journal of General Practice, 2021, 19(9): 1488-1491. doi: 10.16766/j.cnki.issn.1674-4152.002093

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Effect of 270° autogenous bone replantation around the intervertebral cage on vertebral fusion rate and efficacy after lumbar fusion

doi: 10.16766/j.cnki.issn.1674-4152.002093

Department of Orthopedics, Fuyang People's Hospital, Fuyang, Anhui 236000, China

Funds:

1704a0802159

FY2019-024

FK2020081022

BYKY2019226ZD

Received Date: 2021-01-15
Available Online: 2022-02-15

Abstract

Abstract

Objective To investigate the effect of 270° autologous bone replantation around the cage of the intervertebral space on the efficacy of lumbar fusion and the fusion rate of the vertebral body. Methods A total of 64 patients with lumbar spinal stenosis who underwent posterior decompression of the lumbar spine and pedicle screw internal fixation with interbody cage placement and fusion in our hospital from June 2017 to December 2019 were selected as the research objects. According to the random number table method, the patients were divided into control group and observation group, with 32 cases each group. The observation group was given 270° autogenous bone graft around the ring cage, whilst the control group was given anterior edge bone graft of the intervertebral space combined with the cage filled with autogenous bone. After the drainage tube was removed, the two groups of patients were re-examined by X-ray, and the lumbar dynamics and CT were re-examined 12 months after the operation. The Suk and Siepe methods were used to compare the intervertebral fusion rate and the change of intervertebral space height in both groups to evaluate different vertebrae, the effect of lumbar intervertebral fusion and the clinical curative effect of patients under the interfusion mode. Results The patients were followed up for 12 to 18 months, and re-examinations were performed at 1 week and 12 months after the operation. The fusion rate in the observation group was higher than that in the control group at 12 months after the operation. The height of the intervertebral space and the height of the intervertebral foramen were significantly improved at 1 week and 1 year after the operation, and the difference was statistically significant (all P < 0.05). Conclusion The comparison suggests that the 270° autologous bone replantation around the cage in the intervertebral space has a higher fusion rate than the simple intervertebral cage implantation. Therefore, the same kind of autologous bone should be implanted in the intervertebral space before and after the cage implantation, which is more conducive to the fusion of the intervertebral space.
- Lumbar fusion,
- Cage surrounding graft,
- Lumbar spinal stenosis

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Effect of 270° autogenous bone replantation around the intervertebral cage on vertebral fusion rate and efficacy after lumbar fusion

doi: 10.16766/j.cnki.issn.1674-4152.002093

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