Autogenic bone paste in posterolateral fusion of the lower lumbar spine

• In order to facilitate bone graft harvesting and to get more mouldable bone graft in posterolateral fusions of the lower lumbar spine, a modified technique of bone graft harvesting was utilized. Through a midline skin incision the most posterolateral part of an iliac crest was ground with a reamer to a smooth bone paste. The technique was used in lumbar posterolateral fusions without osteosynthesis in 13 patients with no previous spinal surgery and with spondylolysis-olisthesis grade 1-4 or lumbar disc disorder/facet joint arthrosis. Conventional radiography 6-9 months after surgery demonstrated good osseous consolidation of the fusion in 11 patients. There was no postoperative infection and the patients profited from having only 1 scar instead of 2 or 3.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Ortopedi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopaedics (hsv//eng)

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