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特发性脊柱侧凸手术中同种异体骨与自体骨的比较:多变量统计分析

Allograft versus autograft bone in idiopathic scoliosis surgery: a multivariate statistical analysis.

作者信息

Fabry G

机构信息

Department of Orthopaedics, University Hospital Pellenberg, Katholieke Universiteit, Leuven, Belgium.

出版信息

J Pediatr Orthop. 1991 Jul-Aug;11(4):465-8. doi: 10.1097/01241398-199107000-00008.

Abstract

The use of autograft versus allograft bone in scoliosis surgery is critically evaluated by a multivariate statistical analysis. Two groups of patients matched for age, angle of curve, and length of fusion, forming a consecutive series of posterior arthrodesis for idiopathic scoliosis, were evaluated. Group A consisted of 83 patients receiving autografts, and group B consisted of 99 patients receiving allografts. There was a significant reduction in operation time in the allograft group, and blood loss also decreased. After 1 year there was no significant difference in correction of the curve. Given the problems of discomfort at the donor site scar, we recommend the use of allograft bone in scoliosis surgery.

摘要

通过多变量统计分析对脊柱侧弯手术中自体骨移植与异体骨移植的使用进行了严格评估。对两组年龄、侧弯角度和融合长度相匹配的患者进行了评估,这两组患者构成了特发性脊柱侧弯后路融合术的连续系列。A组由83例接受自体骨移植的患者组成,B组由99例接受异体骨移植的患者组成。异体骨移植组的手术时间显著缩短,失血量也有所减少。1年后,侧弯矫正方面无显著差异。鉴于供体部位瘢痕不适的问题,我们建议在脊柱侧弯手术中使用异体骨。

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