Journal of the Chinese Medical Association
Volume 69, Issue 12 , Pages 581-584, December 2006

Posterolateral Lumbar Spinal Fusion with Autogenous Bone Chips from Laminectomy Extended with OsteoSet®

  • Chien-Lung Chen

      Affiliations

    • Department of Orthopedics, Lo-Tung Pohai Hospital, Yilan, Taiwan, R.O.C.
    • ,
  • Chien-Lin Liu

      Affiliations

    • Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Chien-Lin Liu, Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.
    • ,
  • Shih-Sheng Sun

      Affiliations

    • Department of Orthopedics, Lo-Tung Pohai Hospital, Yilan, Taiwan, R.O.C.
    • ,
  • Pu-Yu Han

      Affiliations

    • Department of Orthopedics, Lo-Tung Pohai Hospital, Yilan, Taiwan, R.O.C.
    • ,
  • Chi-Sheng Lee

      Affiliations

    • Department of Orthopedics, Lo-Tung Pohai Hospital, Yilan, Taiwan, R.O.C.
    • ,
  • Wai-Hee Lo

      Affiliations

    • Department of Orthopedics, Lo-Tung Pohai Hospital, Yilan, Taiwan, R.O.C.

Received 18 November 2005; accepted 13 November 2006.

Article Outline

Background

This study was conducted to evaluate posterolateral lumbar fusion with autogenous corticocancellous bone chips from the laminae and spinous processes extended with OsteoSet® instead of cancellous bone from the iliac crest.

Methods

A total of 124 patients who underwent posterior decompression and posterolateral fusion with instrumentation between May 2001 and December 2003 were analyzed retrospectively. The study population comprised 49 males and 75 females with a mean age of 66 ± 9.5 years. In all the patients, corticocancellous bone chips from laminectomy and OsteoSet® were used as the graft material. There was no cancellous bone harvested from the iliac crest. The follow-up period was 28 + 7.1 months.

Results

The overall union rate was 91%, and the average union time was 3.9 months. There were 3 complications, including 2 patients with dura tear, and 1 with deep infection. At the final follow-up, the good and excellent results were up to 83.9%.

Conclusion

Graft material from laminae and spinous processes extended with OsteoSet® is reliable and effective enough to replace the graft from the posterior iliac crest.

Key Words:  bone graft , laminectomy , OsteoSet® , posterolateral fusion

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PII: S1726-4901(09)70333-8

doi:10.1016/S1726-4901(09)70333-8

Journal of the Chinese Medical Association
Volume 69, Issue 12 , Pages 581-584, December 2006

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