Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Install/Install App' to create a shortcut app

Autologous Grafting Without Instrumentation for Spine Fusion in Children

This page was last updated on February 20th, 2019

  • Used for infant spine: This technique is useful for patients from infancy to approximately 18 months, in whom small anatomy and incomplete ossification prohibit not only screw placement but also sublaminar wiring.
  • Autograft: Autograft is much preferable to allograft because it offers improved fusion. Iliac crest bone is used in older children and adolescents where only small graft size is required. Where strut grafts are required (e.g., occipito-cervical fusion in young children), then rib or full-thickness calvaria can be used.

Occipito-cervical fixation with calvarial bone graft: Two strips of full thickness calvarial bone graft are secured to the occiput and C2 lamina via cables.

  • External bracing of fusion needed: This type of fusion requires an external orthosis for rigidity while the fusion is occurring.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.