Clavicular Autograft for C7–T1 Anterior Spinal Fusions

Biomechanical Analysis of Anterior Spinal Instrumentation Constructs for Lumbar Fusions

Corrective surgery for scoliosis with anterior instrumentation can be accomplished with different constructs: single rod, single rod with interbody cages and dual rods. These varying constructs are most often used in the lumbar spine to generate a fusion mass while retaining the natural lordosis of the lumbar region (Sweet, 1999). In a pediatric population or in smaller adults, two screws canno...

Lateral Clavicular Autograft for Repair of Reverse Hill-Sachs Defect

Posterior dislocations of the shoulder joint can result in an impression fracture over the anteromedial humeral head, termed the reverse Hill-Sachs lesion, the presence of which can contribute to recurrent dislocations. Methods described to repair this defect include using allografts, iliac crest and coracoid process autografts, and bone graft substitutes. We describe a novel technique using th...

Revision of failed lumbar fusions. A comparison of anterior autograft and allograft.

STUDY DESIGN The radiographic and clinical results of two different anterior structural grafts were compared in 38 patients who had combined anterior-posterior revision surgery for failed lumbar fusion. OBJECTIVES Failed lumbar fusion surgery, such as pseudarthrosis or flatback deformity, may result in disabling pain. The optimum revision technique has yet to be defined. The authors of the cu...

Autograft versus Allograft for Cervical Spinal Fusion

Graft Substitutes for Use in Spinal Fusions

Spinal fusion procedures remain a common therapeutic option for various pathologic conditions of the human spine. The most frequent method for inducing spinal fusion uses autologous bone grafts harvested from the iliac crest or from local bone removed during the spinal decompression. Although autologous bone remains the ¡§gold standard¡ ̈ for stimulating bone repair and regeneration, modern mole...