Skip to main content

Advertisement

SpringerLink
Log in

Heterogenous transplant (Kiel bone) for the operative treatment of scoliosis

  • Published:
Archiv für orthopädische und Unfall-Chirurgie, mit besonderer Berücksichtigung der Frakturenlehre und der orthopädisch-chirurgischen Technik Aims and scope Submit manuscript

Summary and Conclusion

Despite the relatively high incidence of defects found in the graft 6 months after the operation, we feel that this heterograft (Kiel bone) is a useful addition in the vertebral fusion operations.

Macro and microscopic examinations carried out 6 months following the operation showed good incorporation of the Kiel bone in those cases in which rectangular pieces of cancellous Kiel bone were placed in a spread-out fashion on the top of and between the slivers of autogenous bone.

Our limited experience bears out the fact that it is unwise to place the strip sof Kiel bone in contact with each other and neither should they be placed on the non osseous tissue. In those latter instances the incorporation of the Kiel bone is slow and apparently not complete, at least not within the period of 6 months following the operation.

The Kiel bone does not provide a substitution for the fresh autogenous transplant in spinal fusion operations, but it provides a very useful addition to the autogenous graft.

Zusammenfassung und Schlußfolgerung

Trotz der verhältnismäßig zahlreichen Spandefekte, die 6 Monate postoperativ festgestellt wurden, sind wir der Meinung, daß der Kieler Knochenspan eine nützliche Ergänzung bei wirbelsäulenversteifenden Operationen ist.

Makroskopische und mikroskopische Untersuchungen zeigten 6 Monate nach der Operation eine gute Einheilung des Kieler Knochens in solchen Fällen, in denen rechteckige Spongiosastücke des Kieler Spans auf und zwischen den Eigenspänen flächenhaft verteilt waren.

Aus unserer begrenzten Erfahrung geht hervor, daß man die Kieler Knochenspäne nicht in Berührung miteinander bringen und sie auch nicht in nichtknöchernes Gewebe geben soll. Im letzteren Fall erfolgt der Einbau des Kieler Knochens langsam und offenbar unvollständig, zumindest für die Dauer der ersten 6 Monate nach ihrer Implantation.

Der Kieler Knochen stellt bei Versteifungsoperationen der Wirbelsäule keinen Ersatz, jedoch eine wertvolle Ergänzung des Eigenspans dar.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Alkiv, I.: Surgical treatment of scoliosis. Acta orthop. scand. 33 394 (1963).

    Google Scholar 

  2. Bosworth, D. M.: A study in the use of bank bone for spine fusion in tuberculosis. J. Bone Jt Surg. 35-A 329–332 (1953).

    Google Scholar 

  3. Churchill-Davidson, D., Bendall, R., Dunkerley, D. R.: Initial impressions of Kiel bone in bone grafting. Proc. royal. Soc. Med. 60 1977–1079 (1967).

    Google Scholar 

  4. Goldstein, L. A.: Surgical management of scoliosis. J. Bone Jt Surg. 48-A 167–195 (1966).

    Google Scholar 

  5. —— Further experiences with the treatment of scoliosis by cast correction and spine fusion with fresh autogeneous iliac bone grafts. J. Bone Jt Surg. 48-A 962–966 (1966).

    Google Scholar 

  6. Hibbs, R. A., Risser, J. C., Ferguson, A. B.: Scoliosis treated by the fusion operation. End result study of three hundred and sixty cases. J. Bone Jt Surg. 13 91–104 (1931).

    Google Scholar 

  7. Maatz, R., Bauermeister, A.: A method of bone maceration — results in animal experiments. J. Bone Jt Surg. 39-A 153–165 (1957).

    Google Scholar 

  8. Moe, J. H.: A critical analysis of methods of fusion for scoliosis (an evaluation in two hundred and sixty-six patients). J. Bone Jt Surg. 40-A 529–553 (1958).

    Google Scholar 

  9. —— Gustilo, R. B.: Treatment of scoliosis — results in 196 patients treated by cast correction and fusion. J. Bone Jt Surg. 46-A 293–311 (1964).

    Google Scholar 

  10. Pavon, I. V., Manning, E. C.: Posterior spinal fusion for scoliosis due to anterior poliomyelitis. J. Bone Jt Surg. 52-B 420–431 (1970).

    Google Scholar 

  11. Ponseti, I. V., Friedman, B.: Changes in the scoliotic spine after fusion. J. Bone Jt Surg. 32-A 751–766 (1950).

    Google Scholar 

  12. Riska, E. B.: Spinal fusion in scoliosis — survey of 197 cases. Acta orthop. scand., Suppl. 67 (1964).

  13. Sacks, S.: Personal communication 1971.

  14. Symposium on Bone Grafting Materials, Armour Pharmaceutical Company Ltd. Eastbourne and B. Braun Melsungen, p. 21, 1966.

  15. Wissinger, H. A., Donaldson, W. F.: Results of surgical exploration of spine fusion performed for scoliosis. West. J. Surg. 72 195–198 (1964).

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Department, Assaf Harofe Government Hospital, Zrifin, Israel

    A. Axer & N. Halperin

Authors
  1. A. Axer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Halperin
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Axer, A., Halperin, N. Heterogenous transplant (Kiel bone) for the operative treatment of scoliosis. Arch orthop Unfall-Chir 72, 207–214 (1972). https://doi.org/10.1007/BF00416412

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00416412

Keywords

Search

Navigation