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KMID : 1189320140080020129
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Asian Spine Journal
2014 Volume.8 No. 2 p.129 ~ p.137
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Demineralized Bone Matrix, as a Graft Enhancer of Auto-Local Bone in Posterior Lumbar Interbody Fusion
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Ahn Dong-Ki
Moon Sang-Ho
Kim Tae-Woo
Boo Kyung-Hwan
Hong Sung-Won
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Abstract
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Study Design: A case controlled study with prospective data collection.
Purpose: To evaluate the early influence and the final consequence of demineralized bone matrix (DBM) on auto-local bone as a graft enhancer in posterior lumbar interbody fusion (PLIF).
Overview of Literature: DBM is known as an osteoinductive material; however, it has not been clearly recognized to enhance auto-local bone with a small amount.
Methods: Patients who had a PLIF were allocated into two groups. Group I (70 cases) used auto-local bone chips and group II (44 cases) used DBM as an additive to auto-local bone, 1 mL per a segment. Group selection was alternated. Early assessment was performed by computed tomography at 6 months and final assessment was done by simple radiography after 24 months at least. The degree of bone formation was assessed by 4 grade scale.
Results: The subjects of both groups were homogenous and had similar Oswestry Disability Index at final assessment. The ratio of auto-local bone chips and DBM was 6:1. The degree of bone formation at 6 months after surgery was superior in group II. However, there was no significant difference between the two groups at the final assessment.
Conclusions: DBM was not recognized to enhance auto-local bone with small amount.
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KEYWORD
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Demineralized bone matrix, Graft enhancer, Posterior lumbar interbody fusion
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