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[Bone substitutes in scoliosis surgery]
T Lerner1, H Griefingholt, U Liljenqvist
1Orthopädische Klinik II-Wirbelsäulenchirurgie, St. Franziskus-Hospital, Münster, Deutschland. thomas.lerner@sfh-muenster.de
Der Orthopade
|December 19, 2008
Summary
Bone substitutes are increasingly used in scoliosis surgery to supplement autografts. Calcium phosphate ceramics and bone marrow aspirate show promise, reflecting a trend away from solely relying on autologous bone transplantation.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Context:
- Spinal fusion relies on bone grafts, with local bone often insufficient.
- Autologous bone is the gold standard but has limitations like donor site morbidity and limited supply.
- Allografts and bone substitutes offer alternatives to autografts.
Purpose:
- To review bone substitutes used in scoliosis surgery.
- To elucidate their clinical significance through literature review.
- To compare and critically discuss institutional experiences with published data.
Summary:
- Bone substitutes are increasingly utilized in scoliosis surgery.
- Calcium phosphate ceramics combined with bone marrow aspirate are gaining traction.
- There is a discernible shift towards employing bone substitutes over solely autologous bone.
Impact:
- Highlights the growing interest and relevance of bone substitutes in spinal fusion.
- Provides a critical discussion of current practices and literature.
- Informs clinical decision-making regarding bone grafting strategies in scoliosis.
