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Article
October 1952

CRITERIA FOR SPINE FUSION WITH USE OF "H" BONE GRAFT FOLLOWING DISC REMOVALResults in One Hundred Cases

AMA Arch Surg. 1952;65(4):542-550. doi:10.1001/archsurg.1952.01260020558006
Abstract

THERE will probably never be complete agreement in determining the criteria for spine fusion following removal of the herniated disc. Caldwell and Sheppard1 reported an end-result study of 151 laminectomies. In 90% of 75 patients with disc excision without fusion who returned for follow-up results were rated as good. On the other hand, Farrell and MacCracken2 concluded that "the majority of the cases of protruding intervertebral disc can be relieved by fusion alone." Their opinion was based on a review of spine fusions which had been performed prior to the demonstration of the role of disc lesions by Mixter and Barr.3 Compere's4 experience has been that the removal of an intervertebral disc will invariably be followed in one to five years by the development of hypertrophic changes. He points out that spine fusion one or more years after disc removal is more difficult to perform because

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