Surgical Management of Spinal Deformities 2009
DOI: 10.1016/b978-141603372-1.50030-5
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Bone Graft and Fusion Enhancement

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Cited by 9 publications
(6 citation statements)
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“…New studies, however, are examining the potential efficacy of proximal tibial grafts due to lower post-operative pain and similar healing properties to the iliac crest [3,4]. Autografts are resorbable, osteoconductive, osteoinductive, and provide a living source of cells [5]. Donor site morbidity and infection are common concerns regarding autografts [6].…”
Section: Introductionmentioning
confidence: 99%
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“…New studies, however, are examining the potential efficacy of proximal tibial grafts due to lower post-operative pain and similar healing properties to the iliac crest [3,4]. Autografts are resorbable, osteoconductive, osteoinductive, and provide a living source of cells [5]. Donor site morbidity and infection are common concerns regarding autografts [6].…”
Section: Introductionmentioning
confidence: 99%
“…Cadavers lack living osteoblasts and osteoprogenitors, thereby limiting the osteogenic potential of the graft [7,8]. Additionally, allografts are associated with a greater risk of an immune response and graft rejection but have lower donor site morbidity [5]. Apart from autologous or allograft bone transplantations, synthetic or natural polymeric materials may be used in their place.…”
Section: Introductionmentioning
confidence: 99%
“…AG comes in various forms including both cancellous and cortical [ 3 ]. Cancellous AG is most often harvested from the iliac crest (IC); however, other donor sites such as the posterior superior iliac spine, femur, proximal tibia, and distal radius are utilized [ 4 , 5 , 6 , 7 ]. Cancellous AG contains mesenchymal stem cells (MSCs), osteoblasts, and growth factors including bone morphogenetic proteins (BMPs), which contribute to its osteoinductivity [ 3 , 8 ].…”
Section: Introductionmentioning
confidence: 99%
“…However, cortical AG is less osteoinductive than cancellous AG, and its density results in slower revascularization and inhibits cellular infiltration [ 8 , 9 ]. Despite its osteogenic properties, AG is a scarce resource with multiple drawbacks including donor site morbidity (10–39% of patients), limited availability, the need for a second surgical site [ 6 ], and rapid resorption dependent on the bone density and embryologic origin of the AG [ 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…The latter includes tissue damage by disease, trauma or removal by surgery. , Several methods have been developed to treat tissue defects including the use of autografts, allografts and xenografts. Although autografts are traditionally preferred, their retrieval leads to comorbidity of the donor site and the autografts are also short in supply . One of the main issues associated with the use of grafts is the survival of cells after transplantation .…”
Section: Introductionmentioning
confidence: 99%