Allograft bone in spinal fusion for paralytic scoliosis

• Published in: Journal of bone and joint surgery. American volume Vol. 68; no. 3; pp. 370 - 375
• Main Authors: McCarthy, R E, Peek, R D, Morrissy, R T, Hough, A J
• Format: Journal Article
• Language: English
• Published: Boston, MA Copyright by The Journal of Bone and Joint Surgery, Incorporated 01-03-1986; Journal of Bone and Joint Surgery Incorporated
• Subjects: Adolescent; Biological and medical sciences; Bone Transplantation; Child; Diseases of the osteoarticular system; Diseases of the spine; Female; Femur Head - transplantation; Follow-Up Studies; Graft Survival; Humans; Male; Medical sciences; Paralysis - diagnostic imaging; Paralysis - surgery; Postoperative Complications - epidemiology; Radiography; Scoliosis - diagnostic imaging; Scoliosis - surgery; Spinal Fusion - methods; Spine - diagnostic imaging; Spine - surgery; Transplantation, Homologous; Human; Nervous system diseases; Deformation; Spine; Scoliosis; Surgery; Adolescent; Diseases of the osteoarticular system; Homograft; Arthrodesis; Complication; Child
• ISSN: 0021-9355; 1535-1386
• DOI: 10.2106/00004623-198668030-00009

To determine the efficacy of allograft bone in spinal surgery, a retrospective study was carried out on thirty-two patients who had had spinal fusion with banked bone from the femoral head between 1977 and 1983. The diagnoses were paralytic and neuromuscular scoliosis. At final follow-up (average, 3.7 years), the infection rate was 9.3 per cent. There were no pseudarthroses, and all patients had well marginated trabecular markings by eighteen months. The rates of complications and of fusion were comparable with or better than those obtained using autogenous bone graft.