Module 61, Pediatric Orthopaedist Level

A 13 year old girl with neurofibromatosis is having a spine fusion from T4 to L3 for scoliosis. She has had both iliac crests harvested for previous bone grafting procedures.


Question 61A

The bone regenerates over several years so the previous harvesting will not be important in deciding where to obtain grafting material.


Question 61B

Other bone graft material have no proven efficacy in providing fusion mass.


Question 61C

Coralline Hydroxyappatite (Pro Osteon) is an approved and documented option for this case.


Question 61D

Demineralized bone matrix glycerol suspension (Grafton, Osteotech) is an approved material for this patient and has the additional advantage over bank bone of not having a risk for disease transmission.


Question 61E

Freeze dried bank bone graft provides only osteoconduction when used as a graft material


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