Spinal arthrodesis (the creation of a fusion) was developedfor the treatment of instability and deformity due to tuberculosis,scoliosis, and traumatic injury. Modern spinal surgery was helpedby the introduction in 1911 of the tibial graft by Albee andthe iliac-crest graft by Hibbs. These techniques required prolongedpostoperative bed rest and the use of braces and casts for immobilization,and their use was complicated by a rate of pseudarthrosis ofat least 20 percent. Surgical implants for the spine were developedlater in the century in an attempt to improve the rate of fusionand hasten the recovery . . . [Full Text of this Article]
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From the Department of Orthopedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, and Harvard Vanguard Medical Associates, Boston.
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