HENRY and Geist1 in 1933 reported a modified Hibbs type of spinal fusion in which multiple chip grafts from the tibia were used. This modification simplified the spinal fusion operation by assuring an adequate supply of bone which would conform to any curvature or angulation of the spine, at the same time causing less shock than attends a more extensive surgical procedure. In the procedure which they described, no attempt was made to remove the articular facets. This type of spinal fusion has now been used over a period of many years and has proved most satisfactory for both children and adults. One difficulty, however, has been encountered in obtaining the grafts and insuring that the desired amount of bone will be procured. In young children multiple chip grafts can be removed from the tibia smoothly and easily with a sharp gouge, since the bone is less sclerotic than
McCARROLL HR, ODELL R. USE OF BARREL STAVE GRAFTS IN SPINAL FUSION. Arch Surg. 1949;58(1):42–47. doi:10.1001/archsurg.1949.01240030045005
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