19 Harley St, London, W1G 9QJ, UK

Retrospective comparison of H-graft and posterior vertebral graft procedures for the treatment of thoracolumbar burst fractures

A retrospective cohort study was conducted to compare fusion rates achieved by H-grafts, posterior vertebral grafts, and no graft for the surgical treatment of thoracolumbar fractures. Ninety-two patients were included in this study. The patients fell into 1 of 3 groups: those who received H-grafts (n=36), posterior vertebral grafts (n=30), and no graft (n=26). Mean follow-up was 38 months (range, 24-51 months). All operations were performed by a single senior surgeon. All patients underwent operative treatment with posterior reduction and instrumentation. Radiographic parameters, estimated blood loss, operative time, and length of hospital stay were compared among patients in the 3 graft groups. Differences were assessed using unpaired t tests. P values <.05 were considered significant. We found no significant difference among groups in age, fracture location, or type of fracture. Patients who received H-grafts or posterior vertebral grafts achieved solid fusion, but spontaneous fusion occurred in only 2 patients who received no bone graft. Most patients with neurological deficits showed significant neurological improvement. Operative time and estimated blood loss were significantly lower in the no-graft group than in the H-graft and posterior vertebral graft groups (P<.05). Mean loss of correction, operative time, and estimated blood loss were lower for patients who received H-grafts than for those who received posterior vertebral grafts (P<.05). The use of an atlas fixation system in combination with a posterior H-graft for the treatment of thoracolumbar fracture is a stable and reliable method that effectively prevents inner fixation failure and reduces bone loss and anisotropy Keywords : Adult,blood,Blood Loss,Surgical,Bone Transplantation,China,Cohort Studies,Decompression,Surgical,diagnostic imaging,Female,Fracture Fixation,Internal,Fracture Healing,Fractures,Compression,Humans,injuries,instrumentation,Lumbar Vertebrae,Male,methods,Middle Aged,Orthopedics,Patients,Radiography,Retrospective Studies,Spinal Fractures,surgery,Thoracic Vertebrae,Time,Time Factors,Treatment Outcome,Universities,Young Adult,, Comparison,Hgraft,Posterior, private pain clinic

Date of Publication : 2011 Oct 5

Authors : Huang F;Zhu QS;Li YN;Chen JG;Zhao DM;Yang Y;Wu H;

Organisation : Department of Orthopedics, First Hospital of Jilin University, Changchun, PR China

Journal of Publication : Orthopedics

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21956060

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Retrospective comparison of H-graft and posterior vertebral graft procedures for the treatment of thoracolumbar burst fractures | How much do cortisone injections cost uk

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810