Keene J S, McKinley N E
Spine (Phila Pa 1976). 1992 Jul;17(7):790-4. doi: 10.1097/00007632-199207000-00011.
Results of posttraumatic spine fusions in 34 patients who had autogenous iliac crest grafts were compared with those of 70 patients who had autogenous spinous process grafts. The two groups of patients were otherwise homogenous, and fusion occurred in 32 (94%) of the iliac crest graft patients and 70 (100%) spinous process graft patients. However, average operative time (225 vs. 200 minutes) and operative blood loss (1371 vs. 1136 cc) were significantly higher in iliac crest graft patients (P less than 0.05), and five iliac crest graft patients had significant donor site complications. Use of spinous process grafts eliminated donor site problems, reduced operative time and blood loss, and produced a rate of arthrodesis equal to that of iliac crest grafts.
对34例行自体髂嵴移植的创伤后脊柱融合患者的结果与70例行自体棘突移植的患者进行了比较。两组患者在其他方面具有同质性，髂嵴移植患者中有32例（94%）发生融合，棘突移植患者中有70例（100%）发生融合。然而，髂嵴移植患者的平均手术时间（225分钟对200分钟）和术中失血量（1371毫升对1136毫升）显著更高（P<0.05），5例髂嵴移植患者出现了明显的供区并发症。使用棘突移植消除了供区问题，缩短了手术时间和减少了失血量，并且产生了与髂嵴移植相当的关节融合率。
