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Research ArticleFull Length Article
Open Access

Transforaminal lumbar interbody fusion rates in patients using a novel titanium implant and demineralized cancellous allograft bone sponge

Gerard Girasole, Gerard Muro, Abraham Mintz and Jason Chertoff
International Journal of Spine Surgery January 2013, 7 e95-e100; DOI: https://doi.org/10.1016/j.ijsp.2013.08.001
Gerard Girasole
aOrthopaedic and Sports Medical Center, Trumbull, CT
MD
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  • For correspondence: ggirasole@aol.com
Gerard Muro
aOrthopaedic and Sports Medical Center, Trumbull, CT
MD
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Abraham Mintz
aOrthopaedic and Sports Medical Center, Trumbull, CT
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Jason Chertoff
bDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL
MD, MPH
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  • Article
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Article Figures & Data

Figures

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  • Fig. 1
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    Fig. 1

    (A) Titan Spine's Endoskeleton TT. (B) Lateral view of Titan Spine's Endoskeleton TT (C) Cross-sectional view of Titan Spine's Endoskeleton TT. (D) Fluoroscopy of Titan Spine's Endoskeleton TT. (E) CT-scan coronal and sagittal images.

  • Fig. 2
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    Fig. 2

    Microscopic CT image of the OsteoSponge allograft illustrating the interconnected pore structure.

Tables

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    Table 1

    Grading system

    Points
    Spacer margins0Any evidence of subsidence or lucency around the cage
    1Tightly marginated with both endplates without bone resorption or subsidence
    Bone within cage0Lucency within cage similar to nonossified disc
    1Increased density within spacer beyond that of nonossified disc space suggestive of trabecular bone
    Bone bridge0No bony bridging between endplates
    between endplates1< 0.5 cm bridge on either sagittal or coronal reconstruction
    2≥ 0.5 cm bridge on either sagittal or coronal reconstruction
    • Maximum score = 4.

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    Table 2

    Patient demographics

    Six monthsTwelve months
    4438
    Average age, year51.048.0
    Male:female21:2315:23
    Operative levels
    L2-L300
    L3-:L464
    L4-L52116
    L5-S11718
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    Table 3

    Fusion rates

    Fusion
    Graden%Fusion (Y/N)Fusion %
    Six-month cohort
    Grade I12.3N0
    Grade II24.5N0
    Grade III1022.7Y22.7
    Grade IV3170.5Y70.5
    Total 44 100 N/A 93.2
    Percentage Y (fusion rate) 93.2
    Twelve-month cohort
    Grade I12.6N0
    Grade II00N0
    Grade III923.7Y23.7
    Grade IV2873.7Y73.7
    Total 38 100 N/A 97.4
    Percentage Y (fusion rate) 97.4
    • Y = Defined asfusion;N = Defined asnotafusion;N/A = Not appropriate.

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International Journal of Spine Surgery
Vol. 7
1 Jan 2013
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Transforaminal lumbar interbody fusion rates in patients using a novel titanium implant and demineralized cancellous allograft bone sponge
Gerard Girasole, Gerard Muro, Abraham Mintz, Jason Chertoff
International Journal of Spine Surgery Jan 2013, 7 e95-e100; DOI: 10.1016/j.ijsp.2013.08.001

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Transforaminal lumbar interbody fusion rates in patients using a novel titanium implant and demineralized cancellous allograft bone sponge
Gerard Girasole, Gerard Muro, Abraham Mintz, Jason Chertoff
International Journal of Spine Surgery Jan 2013, 7 e95-e100; DOI: 10.1016/j.ijsp.2013.08.001
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Keywords

  • tlif
  • lumbar
  • fusion
  • graft
  • Recombinant human bone morphogenetic protein (rhBMP)
  • Iliac crest bone graft (ICBG)
  • PEEK cage

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